1. The National Programme for IT in the NHS in England May 2005

2. National Programme for IT Background Launched Spring 2002 by “21 st Century IT” policy document Mobilisation from Q1 2003 Procurement completed Q1 2004 We are now 12 months into a 10 year programme

3. Overall Programme Challenges  Scale  Timetable  Complexity  Perception

4. 2003 Retrospective Challenges No market interest in NHS from world class suppliers Immature marketplace Funding and project profiles were not aligned Running six large (c. £1bn) procurements concurrently Result On time delivery of procurements

5. 2004 Retrospective Challenges Supplier mobilisation of some 10,000 people Detailed specification work locally Clinical and managerial engagement Service readiness Result Suppliers mobilised, some late Most of specification completed Some clinical and managerial engagement – more needed Many systems delivered

6. In Scope & Delivered Electronic booking Disaster recovery facilities NHS Care Records Service: - patient demographics - security (smartcards) - messaging protocols - reference data (of users, locations etc) Out of Scope & Delivered Major new Email and Directory Service >100,000 users Quality management software to GPs Quality assessment software to GPs 2004 Systems

7. 2005 Challenges Clinical and managerial engagement Increasing support for the Programme Picking up the pace in rollout External Environment Engineering delays Financing risk maturation

8. Actions to Address Current Challenges New SRO – John Bacon Start of Performance Management of NHS Clinical leads appointed Extensive refinement of plans with suppliers to ensure deliverability Some supplier replacement due to non-performance (as envisaged in contract structures) It will continue to be difficult

9. Situation Report In Scope & Delivered / Imminent N3 5,000 connections to GP surgeries Secondary usage database ETP live transmissions Out of Scope & Delivered Completion of QMAS Completion of QOF Payment by Results software

10. Service Availability NPfIT Live Systems – September 2004 to April 2005 SPINE Network (N3) Choose and Book North East LSP Accentur e East & East Midlands LSP Accenture London LSP CCA North West & West Midlands LSP CCA Southern LSP Fujitsu Availability to date April %99.76N/A10099.2799.2110099.12100 Availability March %100N/A99.6799.8999.8410099.83N/A Availability February % 99.86N/A99.999.8110099.15N/A Availability January % 98.9N/A99.9299.85N/A99.6N/A Availability December % 99.6N/A99.4998.48N/A Availability November % 96.4N/A99.9100N/A Availability October % 99.9N/A100N/A Availability September % 99.3N/A98.6N/A Availability August %98.47N/A98.91N/A Availability July (from 2 nd ) % 96.98N/A99.57N/A Monthly Availability Target % 99.899.299.598.67 99.899.299.87