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Volume 493: debated on Monday 1 June 2009

To ask the Secretary of State for Health (1) what percentage of each local service provider contract for the National Programme for IT is apportioned to the Care Records Service; (272545)

(2) what the estimated cost of each system within the National Care Records Service is; and what the cost of each contract for delivery of the service is.

The NHS Care Record Service (NHS CRS) comprises a number of national services, and compliant local applications, for example, trust patient administration systems and general practitioner systems. The key nationally-funded components of the NHS CRS are delivered via the spine and the local service provider (LSP) contracts.

The estimated lifetime value of the relevant contracts is in the table at 2004-05 prices. This was the basis used in “The National Programme for IT in the NHS: Project Progress Report” (National Audit Office 16 May 2008).


£ million



South LSP






1 Original value £1,021 million, but including an addition for work in the South now transferred by Contract Change Notice (CCN) to BT.

2 This contract, with Fujitsu, was terminated at the end of May 2008. The value of future planned expenditure on national programme systems and services in the South will be determined following a review of local national health service requirements, and subject to relevant business case approval.

Costs specific to the individual components of the NHS CRS supported by the spine are not separately identified within the spine contract. The value of LSP contracts and entitlement to payment under the contracts is structured around the provision and ongoing support to NHS organisations within the LSP area of the complete raft of systems and services that will meet the agreed requirements set out in the contracts. The contracts do not specify costs relating to individual systems and services.