Skip to main content


Volume 479: debated on Monday 1 September 2008

To ask the Secretary of State for Health pursuant to the answer of 21 May 2008, Official Report, column 371W, on the NHS: IT, on which dates resets have been applied to the contracts with (a) Fujitsu, (b) BT and (c) CSC; and what the resulting total contract value was following each reset. (212213)

The information requested is in the table. Where there are increases in the value of the reset contract when compared to the original contract value, this is due to changes or additional requirements that have been negotiated as part of the reset agreement and these have been approved through normal governance arrangements.


Reset data

10 year contract value (£ million)

BT Local Service Provider (LSP) London

May 2007



January 2007


CSC LSP Eastern

January 2007


CSC LSP NW West Midlands

January 2007


Fujitsu LSP Southern

September 2005


BT National Application Service Provider: Spine

February 2008


To ask the Secretary of State for Health what the (a) current and (b) projected delays are in each of the NHS organisations assigned to Fujitsu’s cluster under the NHS IT contract. (213323)

Information about planned and actual deployments in the area covered by the Fujitsu contract at the point of termination of the contract are shown in the table that has been placed in the Library.

It is not yet possible accurately to predict the consequential impact on deployments as a result of the termination of the contract. However, it is possible that some services, such as systems to support mental health and community health services, may in the event be delivered more quickly than was originally anticipated through existing contracts with other suppliers.

To ask the Secretary of State for Health what the maximum penalty that can be levied on Fujitsu as a result of the termination notice issued under the NHS IT contract is; and what the maximum Government liability is. (213325)

Financial liability for performance under the contract with Fujitsu, terminated on 28 May 2008, will ultimately be determined by agreement between the parties, or failing that by arbitration, or by a court. The contract, which was reset in September 2005, provides for caps of liability. Fujitsu’s liability to the Department is capped at £100 million per contract year, and an aggregate total of £500 million. The Department’s liability is capped at £50 million per contract year. In both cases, the liabilities have potential to apply from the last contract reset.

To ask the Secretary of State for Health (1) what the installation cost of the new version of the Connecting for Health system is; and what additional costs NHS trusts have incurred as a result of its installation; (220863)

(2) whether the original allocation of funding for the (a) establishment and (b) running of the Connecting for Health initiative has been exceeded; and if he will make a statement.

The information requested is contained in Figure 7 on page 26 of the National Audit Office report “The National Programme for IT in the NHS : Progress since 2006”, which can be found at:

The National Audit Office report confirms that the National Programme for IT remains within budget and there has been no change to the original contract costs except where new or additional requirements have been included. Information on expenditure by local NHS trusts on the national programme has not in the past been collected centrally. An annual survey has sought to establish local IT expenditure but the returns, published annually, have included all NHS IT expenditure. It is proposed to collect National Programme-specific information on a sample basis.

To ask the Secretary of State for Health pursuant to the answer of 25 March 2008, Official Report, column 26W, on NHS: ICT, what timetable changes there have been which are not attributable to the transfer of ownership from iSoft to IBA; and to what they are attributable. (221153)

As the National Audit Office has recently reported, although deployment by local service providers has started, the completion of deployment of systems to all hospitals is likely to take some four years longer than originally planned. This delay is regrettable and is related to the scale and complexity of the task. This is because the new systems have taken longer to be developed and because they are being installed into acute hospitals that already have between 20 and 40 existing systems, built to different standards over many years. The new systems need to be made to operate seamlessly and safely with these non-standard existing systems and interfaces, with associated data cleansing and data quality requirements.

To ask the Secretary of State for Health pursuant to the Answer of 26 March 2008, Official Report, column 210W, on NHS: ICT, what the delivery timescales are for the Lorenzo solution to the NHS. (221154)

I refer the hon. Member to the answer given on 12 March 2008, Official Report, columns 475-77W to the hon. Member for South Norfolk (Mr. Bacon). I understand that the supplier of the Lorenzo software remains confident that Release 1 will be deployed into the early adopters in the summer as planned. The deployment and timetable of subsequent releases will depend to some extent on the experience of the early adopters.

To ask the Secretary of State for Health pursuant to the Answer of 12 March 2008, Official Report, column 476W, on NHS: ICT, where three early adopter sites are; whether release 1 of Lorenzo has been delivered; and whether development plans have been extended in light of the recent National Audit Office Report into NHS IT. (221155)

The early adopter sites comprise University of Morecambe Bay NHS Trust, Bradford Teaching Hospitals Foundation Trust, and South Birmingham primary care trust.

Release 1 of the Lorenzo software was delivered into initial testing for the national health service in England in May 2008 and is currently being tested prior to go-live, at Morecambe Bay NHS Trust.

Development plans have not been extended in the light of the recent National Audit Office Report into the NHS IT Programme.

To ask the Secretary of State for Health pursuant to the Answer of 7 January 2008, Official Report, columns 123-4W, on NHS: ICT, how much capital and revenue expenditure was made by (a) local NHS organisations and (b) central NHS organisations and Connecting for Health; and what the (i) capital and (ii) revenue expenditure on IT in the NHS was in each year from 1989-90 to 2004-05 expressed as a percentage of NHS expenditure in each year. (221263)

All the information in the earlier answer relates to expenditure by NHS Connecting for Health. In the past, information on expenditure by national health service organisations on the national programme for information technology (NPfTT) has not been collected centrally. An annual survey has sought to establish local IT expenditure but the returns, published annually, have not been restricted to the National Programme for IT. It is proposed to collect the information, on a sample basis.

Information on total NHS capital and revenue expenditure on information technology is in the following tables. Information was not collected centrally for years prior to 2003-04 (capital) and 2002-03 (revenue).




NHS Capital (£ million)



Local IT capital (£ million)



Local percentage spend







NHS Revenue (£ million)




Local IT revenue (£ million)




Local percentage spend




To ask the Secretary of State for Health how many contracts are held by (a) his Department and (b) Connecting for Health with suppliers to the National IT programme. (221439)

Contracts under the national programme for information technology, held by NHS Connecting for Health on behalf of the Secretary of State, comprise local service provider (LSP) contracts with BT and CSC; contracts for the ‘spine’ and the new national broadband (N3) network, also with BT; for choose and book with Atos Origin; with Accenture for Picture Archiving and Communications systems; with Cable and Wireless for NHS Mail; and a contract with Fujitsu to cover transitional arrangements following termination of the company’s original LSP contract. In addition, NHS Connecting for Health holds numerous enterprise wide agreements on behalf of the national health service and other contracts that relate to aspects of its work which are not a part of the national programme, and for its day-to-day operational needs, such as accommodation and staff.

To ask the Secretary of State for Health which hospitals (a) have and (b) do not have a national programme for IT patient administration system in place. (221554)

As at 21 July 2008 NHS Connecting for Health had deployed patient administration systems in 138 NHS organisations, which are listed as follows. Information on which of the organisations concerned include a hospital site, and which may have more than one hospital site, is not held centrally.

Patient Administration System deployments as at 21 July 2008

Northumberland, Tyne and Wear NHS Trust

Trafford PCT

Blackburn with Darwen PCT

Salford PCT

Stockport PCT

Ashton, Leigh and Wigan PCT

Blackpool PCT

Bolton PCT

Warrington PCT

Knowsley PCT

Oldham PCT

Bury PCT

Tameside and Glossop PCT

Cumbria PCT

North Lancashire PCT

Central Lancashire PCT

East Lancashire PCT

Sefton PCT

Wirral PCT

Liverpool PCT

Halton and St. Helens PCT

Western Cheshire PCT

Central and Eastern Cheshire PCT

Heywood, Middleton and Rochdale PCT

Manchester PCT

Blackpool, Fylde and Wyre Hospitals NHS Trust

University Hospital of South Manchester NHS Foundation Trust

Royal Liverpool and Broadgreen University Hospital

University Hospitals of Morecambe Bay NHS Trust

North Cheshire Hospitals NHS Trust

Pennine Care NHS Trust

Five Boroughs Partnership NHS Trust

Lancashire Care NHS Trust

Manchester Mental Health and Social Care Trust

Bradford Teaching Hospitals NHS Foundation Trust

Scarborough and North East Yorkshire Health Care NHS Trust

Airedale NHS Trust

Leeds Partnerships NHS Foundation Trust

Humber Mental Health Teaching NHS Trust

Barnsley PCT

Northampton General Hospital NHS Trust

Babington Hospital


Derbyshire Mental Health Services NHS Trust

Herefordshire PCT

South Birmingham PCT

Shropshire County PCT

Walsall Teaching PCT

Coventry Teaching PCT

Telford and Wrekin PCT

Wolverhampton City PCT

Heart of Birmingham Teaching PCT

Dudley PCT

Sandwell PCT

Birmingham East and North PCT

North Staffordshire PCT

Stoke on Trent PCT

South Staffordshire PCT

Worcestershire PCT

Warwickshire PCT

Hereford Hospitals Trust

South Warwickshire General Hospitals NHS Trust

University Hospitals Coventry and Warwickshire NHS

Robert Jones and Agnes Hunt Orthopaedic and District Hospital and NHS Trust

George Eliot Hospital NHS Trust

Birmingham Women's NHS Foundation Trust

Birmingham Children's Hospital NHS Trust

Royal Orthopaedic Hospital NHS Trust

University Hospital Birmingham NHS Foundation Trust

Sandwell and West Birmingham Hospitals NHS Trust

North Staffordshire Combined Healthcare NHS Trust

Worcestershire Mental Health Partnership NHS Trust

East and North Hertfordshire NHS Trust

Archer Unit

Danesbury Hospital

Gossoms End Elderly Care Unit

Cambridgeshire PCT

Great Yarmouth and Waveney PCT

James Paget University Hospitals NHS Foundation Trust

Ipswich Hospital NHS Trust

Papworth Hospital NHS Foundation Trust

Norfolk and Waveney Mental Health Partnership NHS

Cambridgeshire and Peterborough Mental Health Part

RWN South Essex Partnership NHS Foundation Trust

King's College Hospital NHS Trust

Great Ormond Street Hospital for Children NHS Trust

Guy's and St. Thomas' NHS Foundation Trust

The Lewisham Hospital NHS Trust

Epsom and Saint Helier University Hospitals NHS Trust

Bromley PCT

Greenwich Teaching PCT

Barnet PCT

Hillingdon PCT

Enfield PCT

Barking and Dagenham PCT

Hammersmith and Fulham PCT

Ealing PCT

Hounslow PCT

Brent Teaching PCT

Harrow PCT

Westminster PCT

Lambeth PCT

Southwark PCT

Lewisham PCT

Wandsworth PCT

Richmond and Twickenham PCT

Sutton and Merton PCT

Waltham Forest PCT

Bexley Care Trust

Newham University Hospital NHS Trust

Barts and the London NHS Trust

Homerton University Hospital NHS Foundation Trust

Barnet and Chase Farm Hospitals NHS Trust

Royal Free Hampstead NHS Trust

Queen Mary's Sidcup NHS Trust

West London Mental Health NHS Trust

Oxleas NHS Foundation Trust

South West London and St. George's Mental Health NHS Trust

Barnet, Enfield and Haringey Mental Health NHS Trust

East London and the City Mental Health NHS Trust

North East London Mental Health NHS Trust

Worthing and Southlands Hospitals NHS Trust

Surrey and Sussex Healthcare NHS Trust

Surrey PCT

West Sussex PCT

Winchester and Eastleigh Healthcare NHS Trust

Hampshire Partnership NHS Trust

Milton Keynes PCT

Hampshire PCT

Buckinghamshire PCT

Nuffield Orthopaedic Centre NHS Trust

Milton Keynes General Hospital NHS Trust

Buckinghamshire Hospitals NHS Trust

Salisbury NHS Foundation Trust

North Somerset PCT

Somerset PCT

Weston Area Health NHS Trust

Taunton and Somerset NHS Trust