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.
Contract Reset data 10 year contract value (£ million) BT Local Service Provider (LSP) London May 2007 1,082 CSC LSP NE January 2007 1,179 CSC LSP Eastern January 2007 1,064 CSC LSP NW West Midlands January 2007 1,110 Fujitsu LSP Southern September 2005 1,182 BT National Application Service Provider: Spine February 2008 1,000
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.
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.
(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:
www.nao.org.uk/publications/nao_reports/07-08/0708484i.pdf.
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.
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.
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.
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.
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).
2003-04 2004-05 NHS Capital (£ million) 2,735.008 2,461.254 Local IT capital (£ million) 234.296 205.555 Local percentage spend 8.57 8.35
2002-03 2003-04 2004-05 NHS Revenue (£ million) 50,813.614 55,036.276 61,867.068 Local IT revenue (£ million) 832.020 914.232 1,046.259 Local percentage spend 1.64 2.16 2.44
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.
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
Wilderslowe
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