Main Content

“2020health is an important and thoughtful contributor to the health debate”

Dr Sarah Wollaston MP, Chairman, Health Select Committee


2020health Report Fixing NHS IT: A Plan of Action for a New Government

The report, 'Fixing NHS IT' puts forward a detailed rescue plan for the £12 billion National Programme for Information Technology (NPfIT). Recommendations are made for how to save £1bn and get IT working better for patients.


• Future national IT approaches should only be done in limited circumstances. Trusts should be free to set their own direction to meet local clinical priorities, provided nationally agreed standards are met.
• A course of national action and investment is needed in areas where IT is currently under-exploited in the NHS, notably telemedicine and collaborative technology, which are a focus in other countries such as in Scandinavia
• Those elements of NPfIT which are a valuable platform for the future should be developed. These include N3 (the NHS broadband network), PACS (the capture and communication of radiological and other images) and the Electronic Prescription Service.
• Action should be concentrated on addressing the care records service in acute hospitals where the failings are greatest. A series of tests are proposed and a plan of action should the model fail those tests.
• The roll-out of the controversial Summary Care Records project (part of the NHS Spine) should be halted and subjected to review.
• A radical reorientation and downsizing of the central IT organisation is needed for it to become more transparent and accountable to the NHS, in combination with a consolidation and strengthening of IT provision at the local level.


This document led to meetings between 2020health and the Department of Health; the recommendations were reflected in many of the decisions made following the general election of 2010.

Press Release Fixing NHS IT: How to save £1bn and get IT working for patients

An incoming Government could save at least £1 billion by realigning the troubled NHS computer programme and boosting its performance, according to a detailed new study from a leading health think-tank. have compiled an unprecedented dossier gleaned from extensive interviews with key participants of what has worked, what should be stopped and what next. read on Fixing NHS IT: How to save £1bn and get IT working for patients

Fixing NHS IT: A plan of action for a new Government (PDF, 2053 KB)

Fixing NHS IT: A plan of action for a new Government

Download the PDF or order a hard copy via paypal