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NHS: Information and Communications Technology

Volume 499: debated on Wednesday 11 November 2009

To ask the Secretary of State for Health what the projected lifetime costs are in respect of each contractor under the national programme for IT in the NHS; and how much each such contractor had been paid on the latest date for which figures are available. (299189)

Relevant information is contained in the following table.

National programme for IT by key elements: Projected lifetime costs and expenditure to 31 March 2009

£ million

Core contracts

Projected lifetime costs1

Expenditure to 31 March 20091







North East






North West and West Midlands






N3 Network



Choose and Book



Amount retained by Accenture2




1. Figures in the two columns are not directly comparable. The projected lifetime costs are shown at 2004-05 prices, and final outturn will be higher due to inflation in subsequent years. Those for expenditure to 31 March 2009 are resource outturn figures.

2. In 2006, Accenture made arrangements to voluntarily novate the company's contract to another existing supplier under the programme. Of the £179 million Accenture had received to that point the company retained £110 million for work completed. £52 million represents the value, for accounting purposes, of moneys repaid as at 31 March 2009.

To ask the Secretary of State for Health what estimate he has made of the expenditure on the implementation of the iSOFT Lorenzo care record service at (a) the South Birmingham Primary Care Trust, (b) University Hospitals of Morecambe Bay NHS Trust, (c) Bradford Teaching Hospitals NHS Foundation Trust, (d) Hereford Hospitals Trust and (e) Five Boroughs Partnership NHS Trust. (298291)

Expenditure incurred in implementing computerised record systems at national health service trusts has two components. A one-off ‘deployment charge’ is paid when the trust has accepted the system, and there will be local costs associated with preparation, deployment and support.

The agreed deployment charge for full deployment of all bundles of service, when complete, at the South Birmingham PCT, University Hospitals of Morecambe Bay NHS Trust, Hereford Hospitals NHS Trust, and Five Boroughs Partnership NHS Trust is £4.758 million in each case. For Bradford Teaching Hospitals NHS Foundation Trust the agreed charge is £8.090 million. Information is not held centrally about the local costs, which will vary from trust to trust.

These figures are at contract base-year values, exclude indexation, and do not reflect actual payments made to date.

To ask the Secretary of State for Health how much funding his Department plans to give to NHS trusts to enable them to purchase applications developed through the NHS interoperability toolkit; and from which budgets such funds will be drawn. (298292)

The national health service interoperability toolkit is intended to allow and encourage trusts to build or procure innovative new applications at the local level that are able to use information from core systems supplied through the national programme for information technology. NHS organisations have always been expected to pay for any additional assets and services that they request or require over and above the national programme standard functionality. There will therefore be no additional funding to enable trusts to purchase toolkit-compliant applications.

To ask the Secretary of State for Health what estimate he has made of the number of users expected to be using (a) the Cerner Millennium care records system and (b) the iSOFT Lorenzo care records system by the end of November 2009. (298293)

Numbers of users will depend on progress achieved in deployment of the systems concerned by that date.