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Challenges to implementing the National Programme for Information Technology (NPfIT): a qualitative study

Hendy, Jane, Reeves, Barnaby C., Fulop, Naomi, Hutchings, Andrew and Masseria, Cristina (2005) Challenges to implementing the National Programme for Information Technology (NPfIT): a qualitative study. British Medical Journal, 331 (7512). pp. 331-336. ISSN 0959-8138

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Identification Number: 10.1136/bmj.331.7512.331


Objectives To describe the context for implementing the national programme for information technology (NPfIT) in England, actual and perceived barriers, and opportunities to facilitate implementation. Design Case studies and in depth interviews, with themes identified using a framework developed from grounded theory. Setting Four acute NHS trusts in England. Participants Senior trust managers and clinicians, including chief executives, directors of information technology, medical directors, and directors of nursing. Results The trusts varied in their circumstances, which may affect their ability to implement the NPfIT. The process of implementation has been suboptimal, leading to reports of low morale by the NHS staff responsible for implementation. The overall timetable is unrealistic, and trusts are uncertain about their implementation schedules. Short term benefits alone are unlikely to persuade NHS staff to adopt the national programme enthusiastically, and some may experience a loss of electronic functionality in the short term. Conclusions: The sociocultural challenges to implementing the NPfIT are as daunting as the technical and logistical ones. Senior NHS staff feel these have been neglected. We recommend that national programme managers prioritise strategies to improve communication with, and to gain the cooperation of, front line staff.

Item Type: Article
Official URL:
Additional Information: © 2005 BMJ Publishing Group
Divisions: LSE Health
Subjects: R Medicine > R Medicine (General)
H Social Sciences > H Social Sciences (General)
Date Deposited: 16 Jul 2008 08:27
Last Modified: 08 Jul 2024 06:21

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