Abstract
The National Programme for Information Technology (NPfIT) is an ambitious project to enable the NHS to modernize its information systems. Over £2 billion has been ringfenced for the first 3 years of this programme and more will follow. The main aims are a greatly improved NHS IT network and infrastructure, a national care record service (NCRS), an electronic booking system (EBS) for appointments and electronic transfer of prescriptions (ETP). New clinical systems will be provided by five organizations across England called Local Service Providers. They will have one Electronic Patient Record (EPR) system so there will be a great deal of standardization over the next few years. It is important that clinicians are involved in the development and implementation of these systems, which will affect many aspects of clinical care. The NCRS consists of the local EPRs together with a National Spine record, which is planned to be available from any NHS location. The Spine record will gradually develop to hold a cradle-to-grave review of a person's health, including all encounters with healthcare services, medications, problems, social circumstances, personal preferences, and main clinical findings and procedures. A complex security and confidentiality model is also being designed.
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