FrontPoint Systems Ltd

There is a sting in the tail to the large number of GP’s who have signed up to Choose & Book lured by the money offered by the DoH.

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Did we really need to pay BT to come up with ADSL links? (starting at 256kb for GP’s & 8 mb for large hospitals?)
This is a solution designed in 2002 for the needs of the 90’s and currently late in delivering even that limited specification. “If you bend the truth enough it will snap” is a quote aptly describing the performance of CfH.

From other quarters we hear of GP’s miffed because the much trumpeted N3 connections provide a measly 2 MB to each surgery & they are apparently finding it difficult to use Choose & Book through this. This is before any of the advanced services such as videoconferencing & access to PACS data come into the equation. Trying to drink the ocean through a straw is an analogy that could be used here. Expectations are apparently to be managed, the people making the decisions having forgotten that by the time this overpriced, underspecified, underdeveloped & irrelevant service is fully in play, the clinical community will long have moved on.

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Having already written Isoft off, I have not taken much of an interest in Lorenzo but it is useful to read E-health Insider’s review of the problems with Lorenzo including this choice quote “The design methodology is also flagged as red. The report notes that it was “heavily weighted on the IP harvesting of a limited number of products and the reliance on domain knowledge, predominantly within iSoft, with restricted influence of clinical users.”

That tells me everything I need to know as a clinician & also as an informatics consultant. The message is not to touch it even with a bargepole.

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So now everyone has noticed the elephant in the room & Accenture are officially ready to walk out on the CfH morass.
Fujitsu & CSC are positioning themselves to take over the clusters previously held by Accenture but they are not much better at delivering what is actually needed.

Will CfH listen to clinicians who know what the requirements on the ground are & can provide a strategic direction for the service? Or are we doomed to watch them continue trying to rearrange the deckchairs on the Titanic?

Answers on a postcard please.

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