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Health Informatics Journal, Vol. 14, No. 2, 113-124 (2008)
DOI: 10.1177/1081180X08089319

Reconfiguring the health supplier market: changing relationships in the primary care supplier market in England

Bob Sugden

Centre for Software Reliability School of Computing Science University of Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK, Bob.Sugden{at}ncl.ac.uk

Rob Wilson

University of Newcastle upon Tyne Business School University of Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK, Rob.Wilson{at}ncl.ac.uk

James Cornford

University of Newcastle upon Tyne Business School University of Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK, James.Cornford{at}ncl.ac.uk

The multi-billion NHS Connecting for Health programme in England has completely reconfigured the relationships between the Department of Health, the National Health Service (NHS), primary care computing suppliers and healthcare professionals (including general practitioners). The implications of this reconfiguration are now becoming apparent and have potentially significant effects on the delivery of information and information systems in the health context. This article explores the changes in these relationships by drawing on comparisons with the previous system for procurement of primary care computing systems, which ran for much of the 1990s. The article also comments on characteristics of the CfH procurement/ contracting process, the differing responses of suppliers, and the role of the existing installed base as an actor in building a new infrastructure for health records.

Key Words: Connecting for Health • electronic health record (EHR) • Integrated Care Record Service (ICRS) • NPfIT • primary health care information systems


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