Greg Twyford wrote:
> Ian Cheong wrote:
> 
>> Really much the same story with the mega health VPN concept that will
>> not die......
> 
> 
> Ian,
> 
> Yes, I agree with you wholeheartedly. That one has left me shaking my
> head from day one, and the Ministers' press releases last year about
> managed VPNs for Divisions still have me wondering, even more with
> HealthConnect shelved.
> 
> The only bigger disbelief were the original documents about BMMS that
> said it would be up and running in twelve months. I just had to put them
> down and get some fresh air.
I suspect a lot of senior bureauvrats start by making various assumptions and
it takes a long time to realise they are wrong.
Some documents clearly indicate the author assumes medication and disease 
coding are already in place.
Many assume EHRs have a standard programmable API (for example, that you could 
give a program to GPs which
extracts diabetes data and sends it to divisions)
Others are 'political' assumptions: that GPs will absorb the costs of 
computerisation, and don't mind
HIC/HeSA controlling comms,

These are not unreasonable assumptions. Most other  areas of computing have 
standard APIs, for example, and
in non_IT areas GPs often absorb the costs of government policy without a 
whimper.

Ian
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