Future of the three NHS bodies managing health tech in doubt after £2.1bn cash injection

Health secretary signals shack-up could be on the cards


UK health secretary Sajid Javid has strongly indicated that the individual health bodies responsible for IT spending in the NHS will be reorganised.

IT strategy across England's unwieldy public-sector health system rests on the shoulders of three organisations: NHS England & NHS Improvement, NHS Digital, and NHSX. While individual trusts and GP surgeries manage their own technology spending, these central management bodies are together driving an £8.1bn digital transformation strategy up to 2023-24. Around £1.6bn is being spent keeping systems up and running over the same period.

Speaking yesterday at a conference for NHS care providers, Javid said: "Although we've seen phenomenal work on digital transformation during this pandemic from so many people, it does strike me as odd that digital leadership is currently split across NHSE, NHSX and NHS Digital."

For non-native speakers, "strikes me as odd" could be read as a Briticism for describing something fundamentally flawed and doomed to failure.

Laura Wade-Gery, the former chief executive of Tesco.com, is currently conducting a review of NHS IT strategy and Javid promised she would be looking at the structure of the bodies leading the health service's digital strategy.

The health secretary's decision to cast doubt on the future of the three bodies follows a £2.1bn cash injection from the Treasury, which over the next three years promises to "support innovative use of digital technology so hospitals and other care organisations are as connected and efficient as possible," according to the Autumn Statement.

What happened to the previous digital transformation push?

Javid is not alone in questioning the structure of NHS IT management. Last year, the National Audit Office, an independent watchdog for public spending, identified problems with the model.

NHS England & NHS Improvement is responsible for IT strategy and approves projects where capital cost exceeds £15m. NHS Digital is the main national body responsible for delivering this strategy.

Then in 2019, the Department of Health launched NHSX to "lead digital transformation in the NHS."

"National governance arrangements for digital transformation remain confused, despite attempts to clarify them," the NAO report said in May.

It also warned that the current digitisation strategy was failing to learn lessons from previous NHS IT disasters, including the £9.8bn National Programme for IT (NPfIT) fiasco, which kicked off around 20 years ago and cost the UK £9.8bn.

The Public Accounts Committee, the Parliamentary spending watchdog, later said the digitisation strategy didn't really amount to a strategy because it did not set out how ambitions would be met in practice.

The organisations have not exactly been keeping low profiles.

NHS Digital has been mired in the battle over access to GP data in a project which gave scant time for patients to understand their data rights and makes decisions on how their medical information is handled. Plans to extract data under the General Practice Data for Planning and Research (GPDPR) project are currently suspended following a backlash from GPs.

NHS England & NHS Improvement contracted US spy-tech firm Palantir to build a COVID-19 data store. In February, campaigners filed for a judicial review of the extension of that contract after they threatened legal action to force the publication of the original documents.

NHS England staff have complained they are being denied access to datasets on the Palantir platform.

NHS England has a broader remit than just NHS digital strategy. It also manages the flow of money to the service from the government. The £300m plan to replace the Oracle ERP system that does this is already running behind and has yet to produce a business plan. ®

Similar topics

Narrower topics


Other stories you might like

  • Monero-mining botnet targets Windows, Linux web servers
    Sysrv-K malware infects unpatched tin, Microsoft warns

    The latest variant of the Sysrv botnet malware is menacing Windows and Linux systems with an expanded list of vulnerabilities to exploit, according to Microsoft.

    The strain, which Microsoft's Security Intelligence team calls Sysrv-K, scans the internet for web servers that have security holes, such as path traversal, remote file disclosure, and arbitrary file download bugs, that can be exploited to infect the machines.

    The vulnerabilities, all of which have patches available, include flaws in WordPress plugins such as the recently uncovered remote code execution hole in the Spring Cloud Gateway software tracked as CVE-2022-22947 that Uncle Sam's CISA warned of this week.

    Continue reading
  • Red Hat Kubernetes security report finds people are the problem
    Puny human brains baffled by K8s complexity, leading to blunder fears

    Kubernetes, despite being widely regarded as an important technology by IT leaders, continues to pose problems for those deploying it. And the problem, apparently, is us.

    The open source container orchestration software, being used or evaluated by 96 per cent of organizations surveyed [PDF] last year by the Cloud Native Computing Foundation, has a reputation for complexity.

    Witness the sarcasm: "Kubernetes is so easy to use that a company devoted solely to troubleshooting issues with it has raised $67 million," quipped Corey Quinn, chief cloud economist at IT consultancy The Duckbill Group, in a Twitter post on Monday referencing investment in a startup called Komodor. And the consequences of the software's complication can be seen in the difficulties reported by those using it.

    Continue reading
  • Infosys skips government meeting - and collecting government taxes
    Tax portal wobbles, again

    Services giant Infosys has had a difficult week, with one of its flagship projects wobbling and India's government continuing to pressure it over labor practices.

    The wobbly projext is India's portal for filing Goods and Services Tax returns. According to India’s Central Board of Indirect Taxes and Customs (CBIC), the IT services giant reported a “technical glitch” that meant auto-populated forms weren't ready for taxpayers. The company was directed to fix it and CBIC was faced with extending due dates for tax payments.

    Continue reading
  • Google keeps legacy G Suite alive and free for personal use
    Phew!

    Google has quietly dropped its demand that users of its free G Suite legacy edition cough up to continue enjoying custom email domains and cloudy productivity tools.

    This story starts in 2006 with the launch of “Google Apps for Your Domain”, a bundle of services that included email, a calendar, Google Talk, and a website building tool. Beta users were offered the service at no cost, complete with the ability to use a custom domain if users let Google handle their MX record.

    The service evolved over the years and added more services, and in 2020 Google rebranded its online productivity offering as “Workspace”. Beta users got most of the updated offerings at no cost.

    Continue reading
  • GNU Compiler Collection adds support for China's LoongArch CPU family
    MIPS...ish is on the march in the Middle Kingdom

    Version 12.1 of the GNU Compiler Collection (GCC) was released this month, and among its many changes is support for China's LoongArch processor architecture.

    The announcement of the release is here; the LoongArch port was accepted as recently as March.

    China's Academy of Sciences developed a family of MIPS-compatible microprocessors in the early 2000s. In 2010 the tech was spun out into a company callled Loongson Technology which today markets silicon under the brand "Godson". The company bills itself as working to develop technology that secures China and underpins its ability to innovate, a reflection of Beijing's believe that home-grown CPU architectures are critical to the nation's future.

    Continue reading
  • China’s COVID lockdowns bite e-commerce players
    CEO of e-tail market leader JD perhaps boldly points out wider economic impact of zero-virus stance

    The CEO of China’s top e-commerce company, JD, has pointed out the economic impact of China’s current COVID-19 lockdowns - and the news is not good.

    Speaking on the company’s Q1 2022 earnings call, JD Retail CEO Lei Xu said that the first two years of the COVID-19 pandemic had brought positive effects for many Chinese e-tailers as buyer behaviour shifted to online purchases.

    But Lei said the current lengthy and strict lockdowns in Shanghai and Beijing, plus shorter restrictions in other large cities, have started to bite all online businesses as well as their real-world counterparts.

    Continue reading
  • Foxconn forms JV to build chip fab in Malaysia
    Can't say when, where, nor price tag. Has promised 40k wafers a month at between 28nm and 40nm

    Taiwanese contract manufacturer to the stars Foxconn is to build a chip fabrication plant in Malaysia.

    The planned factory will emit 12-inch wafers, with process nodes ranging from 28 to 40nm, and will have a capacity of 40,000 wafers a month. By way of comparison, semiconductor-centric analyst house IC Insights rates global wafer capacity at 21 million a month, and Taiwanese TSMC’s four “gigafabs” can each crank out 250,000 wafers a month.

    In terms of production volume and technology, this Malaysian facility will not therefore catapult Foxconn into the ranks of leading chipmakers.

    Continue reading
  • NASA's InSight doomed as Mars dust coats solar panels
    The little lander that couldn't (any longer)

    The Martian InSight lander will no longer be able to function within months as dust continues to pile up on its solar panels, starving it of energy, NASA reported on Tuesday.

    Launched from Earth in 2018, the six-metre-wide machine's mission was sent to study the Red Planet below its surface. InSight is armed with a range of instruments, including a robotic arm, seismometer, and a soil temperature sensor. Astronomers figured the data would help them understand how the rocky cores of planets in the Solar System formed and evolved over time.

    "InSight has transformed our understanding of the interiors of rocky planets and set the stage for future missions," Lori Glaze, director of NASA's Planetary Science Division, said in a statement. "We can apply what we've learned about Mars' inner structure to Earth, the Moon, Venus, and even rocky planets in other solar systems."

    Continue reading
  • The ‘substantial contributions’ Intel has promised to boost RISC-V adoption
    With the benefit of maybe revitalizing the x86 giant’s foundry business

    Analysis Here's something that would have seemed outlandish only a few years ago: to help fuel Intel's future growth, the x86 giant has vowed to do what it can to make the open-source RISC-V ISA worthy of widespread adoption.

    In a presentation, an Intel representative shared some details of how the chipmaker plans to contribute to RISC-V as part of its bet that the instruction set architecture will fuel growth for its revitalized contract chip manufacturing business.

    While Intel invested in RISC-V chip designer SiFive in 2018, the semiconductor titan's intentions with RISC-V evolved last year when it revealed that the contract manufacturing business key to its comeback, Intel Foundry Services, would be willing to make chips compatible with x86, Arm, and RISC-V ISAs. The chipmaker then announced in February it joined RISC-V International, the ISA's governing body, and launched a $1 billion innovation fund that will support chip designers, including those making RISC-V components.

    Continue reading
  • FBI warns of North Korean cyberspies posing as foreign IT workers
    Looking for tech talent? Kim Jong-un's friendly freelancers, at your service

    Pay close attention to that resume before offering that work contract.

    The FBI, in a joint advisory with the US government Departments of State and Treasury, has warned that North Korea's cyberspies are posing as non-North-Korean IT workers to bag Western jobs to advance Kim Jong-un's nefarious pursuits.

    In guidance [PDF] issued this week, the Feds warned that these techies often use fake IDs and other documents to pose as non-North-Korean nationals to gain freelance employment in North America, Europe, and east Asia. Additionally, North Korean IT workers may accept foreign contracts and then outsource those projects to non-North-Korean folks.

    Continue reading
  • Elon Musk says Twitter buy 'cannot move forward' until spam stats spat settled
    A stunning surprise to no one in this Solar System

    Elon Musk said his bid to acquire and privatize Twitter "cannot move forward" until the social network proves its claim that fake bot accounts make up less than five per cent of all users.

    The world's richest meme lord formally launched efforts to take over Twitter last month after buying a 9.2 per cent stake in the biz. He declined an offer to join the board of directors, only to return asking if he could buy the social media platform outright at $54.20 per share. Twitter's board resisted Musk's plans at first, installing a "poison pill" to hamper a hostile takeover before accepting the deal, worth over $44 billion.

    But then it appears Musk spotted something in Twitter's latest filing to America's financial watchdog, the SEC. The paperwork asserted that "fewer than five percent" of Twitter's monetizable daily active users (mDAUs) in the first quarter of 2022 were fake or spammer accounts, which Musk objected to: he felt that figure should be a lot higher. He had earlier proclaimed that ridding Twitter of spam bots was a priority for him, post-takeover.

    Continue reading

Biting the hand that feeds IT © 1998–2022