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Can AtW implement NHS IT system for 100 times less than actual cost?

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    Can AtW implement NHS IT system for 100 times less than actual cost?

    Poll to follow
    26
    Yes, easily
    23.08%
    6
    Yes, but only if he stops posting on CUK
    3.85%
    1
    No, that's impossible - must have £1000 per day project managers etc
    30.77%
    8
    Even AndyW's mum could do it
    42.31%
    11

    #2
    A no brainer...

    Me, me, me...

    Comment


      #3
      There's no "Who GAS? There's no way a small time cowboy with a couple of clever ideas would ever be trusted with such tiny project" option, therefore, I'm out.


      That said, I don't know why the DB has to be central. Would have made a lot more sense to distribute it to the trusts themselves - with them being responsible for their own patients data and an API/Webservice to get hold of it if you're trusted.

      The only central database needs to be the one we've already got with the NHS numbers & location of where the records are...
      ‎"See, you think I give a tulip. Wrong. In fact, while you talk, I'm thinking; How can I give less of a tulip? That's why I look interested."

      Comment


        #4
        Originally posted by Moscow Mule View Post
        That said, I don't know why the DB has to be central.
        It needs to be central because it is much easier to guarantee up time and performance for one central location than many local ones, this does not mean DB can't be replicated to a couple of regional data centers.

        Either way £12 bln seems a ridiculous amount for it, heck for any IT project...

        Comment


          #5
          Originally posted by AtW View Post
          It needs to be central because it is much easier to guarantee up time and performance for one central location than many local ones, this does not mean DB can't be replicated to a couple of regional data centers.

          Either way £12 bln seems a ridiculous amount for it, heck for any IT project...


          centres

          I know that English is not your first language and it doesn't help that the language is routinely scrambled in other countries but the language is called English not American.

          From the Latin centrum.

          Comment


            #6
            Blowing my own horn here, but I'm one of the people that built the new 'NHS' IT system here in Denmark.

            I think it is really rather good. Your GP can book you in to see a specialist right there and then at the consultation, or if you need to check your diary you can do it yourself from home later. If your GP prescribes you something a bit out of the ordinary, the system will alert the Doctor and they can tell you where you might pick it up, or organise it to be delivered to your chemist of choice in a few hours. All at the touch of a few buttons.

            Such systems are not that complex in reality, just big.

            And mine is available to go if there are any New Lie politicos wishing to do something useful in what remains of their career...
            Insanity: repeating the same actions, but expecting different results.
            threadeds website, and here's my blog.

            Comment


              #7
              Originally posted by threaded View Post
              Blowing my own horn here,


              That's unlike you!

              Comment


                #8
                Originally posted by AtW View Post
                It needs to be central because it is much easier to guarantee up time and performance for one central location than many local ones,
                Only in the minds of management types. Explaining distributed systems and performance to people who have problem holding a mouse the right way up is the real performance drag in such systems.

                Originally posted by AtW View Post
                this does not mean DB can't be replicated to a couple of regional data centers.
                You're thinking is a little old fashioned, but correct. Why not send updates to multiple servers, then they never need to replicate above a background process to recover lost messages.

                Originally posted by AtW View Post
                Either way £12 bln seems a ridiculous amount for it, heck for any IT project...
                Oh, you think the 12bn was for an IT project? I thought it was a way of ensuring a lucrative post election career.
                Insanity: repeating the same actions, but expecting different results.
                threadeds website, and here's my blog.

                Comment


                  #9
                  Wow, a poll that is almost as balanced as the Daily Mail's "Should the NHS allow gipsies to jump the queue?" poll.

                  The answer is quite clearly a no, but that isn't an option. It's nothing to do with needing expensive project managers, or anything else for that matter.

                  AtW, if you are so confident that you can do it, then go do it and sell it to the NHS. It's called speculation - if you build it, they will come. And if you build it, and it works, then you can probably sell it for significantly more than £10 million.
                  Best Forum Advisor 2014
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                  Comment


                    #10
                    Originally posted by oracleslave View Post


                    That's unlike you!
                    Do you think I go on about the very good reason Denmark is considered #1 for Government IT a bit too much?
                    Insanity: repeating the same actions, but expecting different results.
                    threadeds website, and here's my blog.

                    Comment

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