Tens of thousands of hospital patients were forced to be in mixed sex wards last year despite Labour promises that men and women would be separated, new figures suggest.
The announcement came as the new coalition government revealed that men and women will no longer have to share facilities in English hospitals.

More than eight thousand breaches of Labour’s pledge to “virtually eliminate” mixed wards were reported in just half of England’s Strategic Health Authorities in the first quarter of this year, new figures show.

If the same level existed across the rest of the country it would mean there were more than 16,000 breaches in three months, equating to 64,000 cases a year.

Andrew Lansley, the Health Secretary, announced yesterday that the “indignity” of men and women sharing accommodation would be abolished, almost 15 years after Tony Blair made the same promise.

But men and women may still have to share wards, provided the hospital ensures that male and female patients sleep in separate areas and have their own washing facilities.

Labour committed in two manifestos to provide separate accommodation for men and women, except where it was in the interests of the patient not to do so.

They later decided to divide wards into same-sex “bays”, meaning same-sex accommodation could include men and women sleeping in separate partitions of the same ward.

But the new figures reveal that one in ten patients is still admitted to a mixed ward, while a third have to share bathrooms with members of the opposite sex.

The information suggests data is not being recorded consistently across the country and NHS organisations are continuing to place patients in mixed sex accommodation for “operational reasons”, the government claimed.

Under new steps announced by Mr Lansley, NHS organisations can be held accountable for failing to guarantee same-sex accommodation where there is no clinical justification.

From next January, any breaches of the guarantee will be reported regularly and commissioners will sanction NHS bodies which admit failing to meet the pledge.

For the first time the reports will be made publicly available, meaning patients receiving elective treatment can choose to avoid the worst-performing hospitals.

Mr Lansley told BBC Radio 4′s PM programme: “It should be more than an expectation, it should be a requirement that patients who are admitted should be admitted to single-sex accommodation.

“Patients should be in single-sex accommodation, meaning that all of their period that they are admitted they should be in a bed or a bay which only consists of people of the same sex.

“And they should be able to come and go, for example to all their washing and toilet facilities, without having to pass through a part of the ward or another ward where there might be people of a different sex… so to that extent they would have the kind of privacy and dignity people have a right to expect.”

He added: “Patients should not suffer the indignity of being cared for in mixed sex accommodation. I am determined to put an end to this practice, where it is not clinically justified.

“In the future, NHS organisations will have clear standards, spelling out when they should report a breach. Where NHS organisations fail to meet this standard, we will let the public know they have failed and we will strengthen the fines which may apply.”

Chief Nursing Officer Christine Beasley added: “Protecting the privacy and dignity of patients by eliminating mixed sex accommodation must be a priority for the NHS.

“Driving this change will be the publishing of statistics on mixed sex accommodation breaches by NHS trusts. This measure will allow patients to make better informed decisions about their care.”

From: http://www.telegraph.co.uk/Thousands-of-patients-still-forced-to-stay-in-mixed-sex-wards

The NHS’s Connecting for Health CfH, NPfIT continues to push forward its plan to nationalise and centralise all medical records in England.

This despite a misleading announcement from the Department of Health that uploads to the Summary Care Record (SCR) aka Snoopers Charter are ‘on hold’.

In just the last few days, the medical press has reported that:

• NHS East Riding of Yorkshire began sending out notification letters to patients the day before election day;

• GP practices in Hastings, East Sussex have uploaded records over the past 2-3 weeks, despite patients complaining they hadn’t received a notification letter;

• At least 9 other Primary Care Trusts are working towards upload, and practice managers – not GPs – may already have given the go-ahead for upload at some practices in South West Essex.

Clearly, whatever deal was agreed between the British Medical Association and the NHS, there is no effective barrier to upload. And CfH is desperate to create a ‘critical mass’ of records, which it thinks will make the system impossible to scrap.

Health Direct warns that you need to act quickly.

30 million ‘Patient Information Packs’ were sent out in the run-up to the general election. No-one knows how many failed to reach their intended target. Both parties that now form the new government pledged to scrap the Care Records system but, every day that uploads continue, people’s medical confidentiality is being put at risk.

Please take a few minutes now or today to write to your new MP, urging him or her to call for an immediate halt to Summary Care Record uploads. POWER2010 has very kindly built an online letter-writing tool to help
you do this: http://www.power2010.org.uk/Halt

On the subject of the Nanny State’s Snoopers Charters- Home Information Packs (HIPs) were announced in the Queen’s Speech in November 2003, so were plans for a national ID scheme. The introduction of HIPs was subject to delays and plans were scaled back – just like the ID scheme.

In 2009 HIPS were finally issued and so were ID cards. The scrapping of HIPs was a manifesto pledge by the Conservatives and the Liberal Democrats, so was scrapping ID cards.

Yesterday Eric Pickles MP, the new Communities Secretary announced that “HIPs are history” and “laid an Order suspending HIPs with immediate effect” (pending primary legislation for a permanent abolition).

Meanwhile ID cards are still being issued and the UK Identity and Passport website states: “Until Parliament agrees otherwise, identity cards remain valid and as such can still be used as an identity document and for travel within Europe.” Alas we still await a Pickles style announcement from the Home Office.  See http://www.communities.gov.uk/news/corporate/1591777

The NHS is facing upheaval and cutbacks as a decade of budget increases comes to an end and £20 billion of savings must be found over the next five years.

Despite pledges from Labour and the Conservatives to protect front line services, there is evidence that their promises may have come too late.

A list of cuts has already been identified – including job losses, banning certain operations, closing casualty departments, downgrading maternity services and reducing the number of junior doctors. But these have been mostly quietly ignored by the three main parties.

The Conservatives pledged to stop all closures until they could be reviewed but, with billions of pounds of savings needed to cope with growing demand, cuts and closures are almost inevitable.

David Cameron emphasised that he was personally in favour of the NHS, after his experiences with his disabled son Ivan, who died last year, to combat arguments that the health service was not safe in Tory hands. The party manifesto contained promises about dentistry and round-the-clock GP services which appear too expensive in the current climate.

Both the major parties were accused of chasing the “fear of cancer” vote. The Tories said they would fund cancer drugs turned down by Nice, the health rationing watchdog, but did not mention drugs for other illnesses such as arthritis or dementia.

Labour said cancer patients would see a specialist and have test results back within a week. The party was criticised for unveiling its manifesto at a new hospital in Birmingham. It is against the rules to use NHS premises for election events.

But Labour pointed out that the hospital was still in the hands of the private finance initiative organisation – a policy which means the NHS will be repaying billions of pounds for new hospitals for decades.

Nick Clegg refused to ring-fence NHS spending given the size of the national debt.

The Liberal Democrat campaign focused on cutting waste on managers, scrapping regional strategic health authorities and pledging more power to communities to direct the health service locally.

From: http://www.telegraph.co.uk/General-Election-2010-cuts-inevitable-as-NHS-must-make-savings

Heroin should be routinely prescribed on the NHS as a way of weaning drug users off their addiction, the head of the country’s top nursing union has said.

Peter Carter, the general secretary of the Royal College of Nursing (RCN), also said he was in favour of “drug consumption rooms” to enable addicts to take drugs safely under medical supervision, and to cut rates of drug-related crime.Nurses gathering at the RCN’s annual congress in Bournemouth had earlier discussed providing heroin to addicts where other attempts at treatment have failed.

Results of pilot studies in London, Brighton and Darlington suggest that allowing users to inject themselves with the Class A drug under medical supervision can cut local crime rates by two thirds over six months.

Aberdeen has been considered as a potential future pilot location in Scotland.

But some experts are concerned at the prospect of providing legitimate “shooting galleries” in publically-funded clinics, despite the increasing use of methadone, the heroin-subsitute, and a lack of abstinence-based programmes.

Amid controversy over how to treat chronic drug users, members of the RCN, the country’s largest nursing union, discussed the possibility of providing heroin on the NHS today but did not hold a vote for or against the move.

Speaking in a personal capacity after the debate, Dr Carter, the former head of Central and North West London Mental Health NHS Trust, said that he believed in providing drugs, needle exchanges and locations for users to inject substances safely.

“The fact is heroin is very addictive,” he said. “People who are addicted so often resort to crime, to steal to buy the heroin. It obviates the need for them to steal.

“It might take a few years but I think people will understand that if you are going to get people off heroin then in the initial stages we have to have proper heroin prescribing services.” Dr Carter added that more research was needed into consumption rooms, which have been tested in Sydney and Amsterdam.

Experts found the programme stopped users injecting in school playgrounds and stairwells.

“Critics say you are encouraging drug addiction but the reality is that these people are addicts and they are going to do it anyway,” he added.

Radical proposals for the most chronic drug users were first advocated in 2002 by the then Home Secretary David Blunkett. The gave rise to pilot programmes in England in which users inject themselves with pharmaceutical diamorphine imported from Switzerland, under medical supervision.

From:
http://www.timesonline.co.uk/tol/news/uk/health/article7108342.ece

The NHS reported the highest number of serious data breaches of any UK organisation since the end of 2007, the Information Commissioner’s Office says.

David Smith, deputy commissioner at the ICO told the Infosec security conference the NHS had highlighted 287 breaches to it in the period.

That accounts for more than 30% of the total number reported.

The NHS – the UK’s largest employer with 1.7m staff – has only started the process of rolling out digital patient records.

Most of the breaches (113) were the result of stolen data or hardware, followed by 82 cases of lost data or hardware.

Mr Smith said the problems were not confined to the public sector and that results could be skewed because the public sector has a culture of reporting all breaches whereas not all private sector firms did.

Richard Vautrey, the deputy chair of the British Medical Association’s GPs committee thinks the number of breaches reflect the size and complexity of the NHS as well as its culture of openness.

“So many people have access to data and often human error is to blame. There is an increased attempt to be open and honest about what happens to data,” he said.

He added that he was not aware of a specific case where a data breach had affected patient privacy or care.

“We need to keep their breaches in perspective,” he said.

As part of its plans to digitise patient records, the NHS is asking patients if they want their data stored on national databases. It is important that people are given the chance to opt out, said Mr Vautrey.

Currently the reporting procedure for data breaches in the UK is voluntary although the ICO is “moving towards” a compulsory system.

In April the ICO introduced fines of up to £500,000 for serious data breaches.

The European Union’s Telecoms Package requires telecom firms to report data breaches and Mr Smith said he expected this requirement to expand beyond telcos.

Data encryption firm PGP welcomed the tough new approach to data security.

“Finally the ICO, which has long demanded greater powers, will be able to severely punish those in serious breach of the Data Protection Act. For too long, organisations have continued to ignore the warning signs – risking both the privacy of their customers and the reputations of their brands,” said Jamie Cowper, European marketing director at PGP.

He anticipates “severe fines” for the next private sector company to be involved in a serious data breach although he does not imagine the ICO will pursue the NHS.

PGP calculated that data breaches cost companies, on average, £67 per piece of data lost.

From:

http://news.bbc.co.uk/1/hi/technology/10089066.stm

Health Direct asks- given that the NHS has the worst record of data security and that labour politicans have already sent 250,000 political letters to cancer sufferers- are you CERTAIN that your medical records will be safe on the Snoopers Charter database? If not OPT OUT NOW- whilst you still can!

Hundreds of cancer patients may have been left to die without access to life prolonging medication, despite the drugs being approved by the labour government.

A postcode lottery means hundreds of people are missing out on life-prolonging care

Now figures obtained under the Freedom of Information Act show that a cancer patient’s chances of overruling health authorities who deny them access to drugs depends on where they live.

Some NHS trusts, such as Torbay in Devon and Salford in Manchester, granted all appeals while in others, such as Kingston in southwest London, only 7% were granted. In about one-third of trusts, fewer than half of the requests for drugs that can cost thousands of pounds a month were approved.

Access to cancer drugs has become an election issue, with the Conservatives saying they will ensure the National Health Service directs £200m more into supplying new drugs. The money will come from what the health service would otherwise have had to pay to meet Labour’s hike in National Insurance, which the Tories have said they would partially reverse.

The drugs concerned have all been approved by the labour government’s National Institute for Curbing Expenditure (Nice). However, each of 152 primary care trusts (PCTs) in England is allowed to use its own interpretation of Nice’s regulations.

In some cases patients who have already had two courses of chemotherapy are not allowed the drugs; in other cases they must have tried cheaper alternatives before being eligible. Those who do not meet the conditions must appeal to an “exceptional case” panel.

Widespread variation in attitudes between health trusts emerged in research to be published in Health Insurance magazine. It asked how many “exceptional-case funding requests” for cancer were received by trusts in 2009.

It named five drugs, including Rituxan for leukaemia; Tarceva for lung cancer treatment and Revamid for blood cancer.

All such appeals were granted by 17 healthcare trusts, with the areas benefiting ranging from Walsall and Manchester, to Torbay and Suffolk. However, Kingston and Northamptonshire refused most of the appeals made to them.

Forty one of 122 primary care trusts that responded granted fewer than half requests. The figures present an incomplete picture because some trusts may prescribe medicines without the need for patients to appeal. Critics, however, say they still show unacceptably wide variations in practice.

Specialists also complain that the NHS trust officials who decide whether or not to grant the appeals are rarely experts in the disease, so they help to create the wide discrepancies.

Karol Sikora, a cancer specialist at Hammersmith hospital, west London, said his department has a wallchart that marks both sympathetic and unhelpful PCTs. “You find yourself talking to office temps and all sorts of unlikely people who are apparently making these life-or-death decisions,” said Sikora.

On the morning after Gordon Brown’s “disastrous” day- Health Direct sends a message to him: laughter can do as much good for your body as a jog around the park, scientists have claimed.

Doctors describe “mirthful laughter” as the equivalent of “internal jogging” because it can lower blood pressure, stress and boost the immune system much like moderate exercise.

A number of volunteers asked to watch just 20 minutes of comedies and stand up routines saw a dramatic drop in stress hormones, blood pressure and cholesterol.

That means that the “laughercise” could be a way to reduce heart disease and diabetes. It is especially important to the elderly who may find it hard to perform more physical activities.

Dr Lee Berk, from Loma Linda University, California, who led the study, said that emotions and behaviour had a physical impact on the body.

He concluded “that the body’s response to repetitive laughter is similar to the effect of repetitive exercise”.

“As the old biblical wisdom states, it may indeed be true that laughter is a good medicine,” he said.

Dr Berk, who has been studying the effects of laughter for more than two decades, said that the high you get from a giggling fit was similar to the endorphin rush from exercise.

He has shown how it can reduce your risk of a heart attack and diabetes and generally regulate the body’s vital functions.

It is also an important way to de-stress after a day’s work, he believes.

In the mid-1990s, Dr Berk found that laughter increases the number of natural killer cells in cancer patients. Natural killer cells are the body’s way of fighting tumours.

For the latest study he had 14 volunteers watch either a stressful 20 minute clip of the war film Saving Private Ryan or an extract from a comedy or stand up routine.

Blood samples taken afterwards showed the reduction in stress hormones and increase in immune T cells for those who watched the comedy. Blood pressure testing showed it was down too with this group.

In 1997, Dr Berk performed experiments with diabetic heart patients. One group watched a television comedy each day for one year, another did not.

The difference in outcomes was stunning. At the end of the year, the comedy viewing group required less blood-pressure medication.

Eight per cent of the comedy viewers had another heart attack, compared with 42 per cent of those who did not regularly view it.

An earlier study also showed that watching just half an hour of comedy a day slashes levels of stress hormones and compounds linked to heart disease.

Levels of compounds linked to hardening of the arteries and other cardiac problems had also dropped, while levels of ‘good’ cholesterol – thought to protect against heart disease – rose.

An earlier study by Dr Berk also showed that the mere anticipation of a good laugh can benefit health.

The expectation of watching a comedy video was enough to raise levels of feel-good endorphins and boost amounts of a hormone that helps our immune system fight infection.

The findings were presented at the Experimental Biology conference.

From:

http://www.telegraph.co.uk/Laughter-really-is-the-best-medicine-as-doctors-find-it-can-be-as-healthy-as-exercise

Labour was caught up in a new row over its use of personal data after emailing NHS professionals using their work addresses to ask for their support.

The move emerged after the party had been criticised for delivering campaign leaflets on the party’s cancer policy to 250,000 women, some of whom had the disease.

The postcards, produced by Tangent, which works for the Labour Party, said that the Tories would scrap a Labour guarantee that patients would see a cancer specialist within two weeks.

One of those who received the latest communication, a doctor, has complained that senior Labour figures are trying to pressure her into publicly backing the party against her will.

Labour is trying to organise a round robin letter from senior figures in the NHS saying that only Labour can be trusted to look after the health service.

The Twickenham GP, whose name has been withheld for fear of retribution, contacted the Conservatives in fury at the attempt to make her sign a petition.

The GP expressed concern that Amy Fowler, a development officer for the Labour Party, obtained her work e-mail address, which she claimed is not publicly available.

The petition that the doctor was being asked to sign, which is likely to have been forwarded to a newspaper, committed members of the health service to explicitly backing Labour.

It says: “We are a group of clinicians, staff and campaigners working in and with the NHS. Every day, every week, we see first-hand the quality of care which the NHS gives to patients when they need it most. At this election we are backing Labour as the party of the NHS which will do the most to improve it for all patients.

“There is more to do to improve the NHS, but it is this Labour Government which has shown commitment to the NHS by investing in more doctors, nurses, more services and new hospitals and GP practices. It is Labour who are making the tough decisions that will allow our NHS to be protected in the future from spending cuts which would harm patient care. And only Labour are prepared to put patients first, for example with guarantees to rapid access to cancer specialists and cancer tests.

“For these reasons we believe only Labour can be trusted to protect and improve our NHS at this election.” The e-mail came from Martin Rathfelder, from the Socialist Health Association, but was signed by Ms Fowler.

The GP said: “[This was] totally unsolicited by me. I have never been to any socialist events and would not mix my personal views with work. He says he got it from a list of trainers which is possible. I feel this is an absolute abuse of a publicly funded service. Don’t know anyone who would have nominated me.”

She added: “I am angry that they have e-mailed me at my work e-mail address and would very much like to know how they have obtained confidential NHS e-mail addresses. You might be interested to investigate a. where they obtained these addresses [and] b. whether it is appropriate to use the addresses in this party political way. Needless to say I do not support the petition!”

Paul Beresford, the Tory MP who represents the doctor, said: “This is a grossly unfair attempt by the Labour Party to draw NHS clinicians into political campaigning. They feel under threat of blacklisting if they do not sign up.” Andrew Lansley, the Shadow Health Secretary, said: “The Labour Party need to explain how they have received these NHS e-mail addresses. If they are using the NHS private e-mail system to reach NHS staff for party political campaigning it is an abuse.

“We know from recent research that NHS staff support the Conservatives and not Labour because we are now more trusted to improve the NHS.”

Mr Lansley has written to Andy Burnham, the Health Secretary, to demand that he apologises for the cancer postcards. He said: “Cancer sufferers across the country have condemned Labour’s scaremongering breast cancer leaflets, but still Gordon Brown and Andy Burnham refuse to apologise.”

When asked where he got the address, Mr Rathfelder replied that he obtained it “from a list of training practices”. However the GP said “I still feel it is an abuse of the NHS.”

From: http://www.timesonline.co.uk/tol/news/politics/article7095225.ece

Labour has become embroiled in a row about the use of personal data after sending cancer patients alarmist mailshots saying their lives could be at risk under a Conservative government.

Personalised cards addressed to sufferers by name warn that a Labour guarantee to see a cancer specialist within two weeks would be scrapped by the Tories. Labour claims the Conservatives would also do away with the right to be treated within 18 weeks.

The offending mailshot
Cancer patients who received the personalised cards, sent with a message from a breast cancer survivor praising her treatment under Labour, said they were “disgusted and shocked”, and feared that the party may have had access to confidential health data.

Labour sources deny that the party has used any confidential information. However, the sources admit that, in line with other political parties, it uses socio-demographic research that is commercially and publicly available.

The postal campaign started last month before the general election was called. This is the first election in which parties have been able to use internet databases and digital printing to personalise their mailshots.

Labour has sent out 250,000 “cancer” postcards, each addressed to an individual, asking: “Are the Tories a change you can afford?” Many of those receiving the cards have undergone cancer scans or treatment within the past five years.

- In the Labour constituency of Sherwood, Nottinghamshire, two of a group of eight women friends received the breast cancer card. They are the only two to have undergone cancer treatment. One of them, Phyllis Delik, 80, described it as “callous” and “despicable”. The second woman, Shirley Foreman, 58, who received the card a fortnight after undergoing surgery, said: “It is bad taste after what I have been through.”

- In the marginal east London constituency of Poplar and Limehouse, the card was sent to a 44-year-old television producer who had a potentially cancerous lump that turned out to be a cyst. She appeared to be the only person who received the mailshot among 50 neighbours. She said: “It’s crude and insensitive.”

- A card was sent to a woman who has died of breast cancer. Her 33-year-old husband was so upset that he sent a message to the Facebook page of Diane Dwelly, the woman whose case is featured in the mailshot, accusing her of being a pawn for the Labour party.

This weekend Dwelly, 48, from Rugby, admitted she had “probably been used by Labour”. She believed her photograph had been taken for use in a magazine for the National Health Service, not as part of Labour’s election campaign.

The cards are being distributed by Ravensworth, part of Tangent Communications, which has won accounts sending out mail for the Department of Health and Cancer Research UK.

Tangent claims that it specialises in “highly targeted marketing”.

The cancer cards are part of a wider postal campaign targeting various groups. Others are aimed at parents whose children attend Sure Start centres, pensioners and the owners of small businesses.

Labour has so far sent out 600,000 cards. It plans to distribute 4.5m during the election campaign.

Janet Arslan, 40, a graphic designer who also lives in the Sherwood constituency, said: “When I received the breast cancer card at first I thought it was from the hospital.

“I did not think Labour would be that crass to deliberately target a terminal cancer patient like me.”

Damian Bentley, managing director of Tangent, said: “Our company does a lot for the Labour party but I don’t work on that side of the business.”

He failed to respond to a list of questions on how the addresses of the cancer victims were obtained.

Emilie Oldknow, 29, the Labour candidate in Sherwood, worked for the NHS before she became the regional organiser of the East Midlands Labour party. She is the fiancée of Jonathan Ashworth, Gordon Brown’s deputy political secretary and a member of his “kitchen cabinet”.

Oldknow has denied all knowledge of the cards.

“I had not seen the mailshot before and it wasn’t sent out by my campaign,” she said.

In an email to Arslan’s mother, she said her details had been “obtained from the electoral register, which is available to political parties”.

Experian, the data management company, confirmed that both Labour and the Conservatives use its Mosaic database, which divides voters into 67 groups. The databases can use anonymised hospital statistics, including postcodes and the diagnoses of patients, to identify the likely addresses of those with particular illnesses.

It cannot identify potential breast cancer sufferers because the disease affects adult women of all ages and backgrounds.

Andrew Lansley, the shadow health secretary, said: “For Labour’s campaign to deliberately distress or scare sufferers from breast cancer is shameful. Because we are going to increase the NHS budget in real terms and cut bureaucracy and waste, we will have the capacity to ensure that cancer patients are seen sooner than they are at the moment and to meet the quality standards that they expect.”

From: http://www.timesonline.co.uk/tol/news/politics/article7094308.ece

Health Direct doubts labour spin about this approach being a “one off” as they have given themselves the right to snoop on all of your medical data- as well as their nightsoilmen at the Deptament of Health.

Highlighting once again the need for you to opt out of their expense white elephant that is the NPfIT propgram.

Private companies get access to millions of NHS medical records

September 29, 2008 By: Dr Search- Principal Consultant at the Search Clinic

The confidential medical records of millions of NHS patients could be handed over to private companies under controversial plans being drawn up by labour ministers.

Patients’ postcodes, medical conditions and treatments – and in some circumstances, their names – could be passed on to third parties without their consent.

http://www.healthdirect.co.uk/2008/09/private-companies-get-access-to-millions-of-nhs-medical-records.html

The biggest single supplier to the £12bn NHS NPfIT white elephant programme is on the brink of being fired from a key part of its contract after failing to meet a deadline to install systems at hospitals in the north west.

CSC, which holds the contract for two-thirds of England, missed the deadline to get the Lorenzo electronic medical record product up and running at the Morecambe Bay NHS Trust’s hospitals.

CSC originally said the system would go live almost two years ago, in June 2008.

The failure is the latest crisis for the much-troubled programme which is running at least four or five years late.

CSC and BT, which covers London, had each been given a deadline to get new systems running smoothly in a big, acute, hospital, with the Department of Health warning last year that it would “look at alternative approaches” if that failed to happen.

BT has since installed a system at Kingston Hospital to the health department’s satisfaction. Christine Connelly, the department’s chief information officer, said it now needs to go through a due process under its contract with CSC which could yet see a new deadline set and met.

But if progress is not made, she told the Financial Times, the department has the option of cancelling CSC’s contract to install the systems in acute hospitals and letting hospitals choose from other suppliers.

Morecambe Bay, she said, remained keen to continue and under the contract CSC has to be given time to propose a fresh deadline for deployment, with the programme then assessing the credibility of that and whether to agree it.

“We have to walk through this step by step,” Ms Connelly said. “In a contract as large and complex as this we cannot just set a deadline and say that’s it. We have to act responsibly and not expose the department and the taxpayer to risk.”

But, she warned bluntly, “we cannot wait for ever”.

CSC has contracts worth about £3.3bn to install hospital, community, mental health and GP systems, with the latter elements progressing much better.

But Ms Connelly said if CSC’s plan was not credible the NHS had the option of cancelling the acute hospital part of the deal, thought to be worth around £1bn. CSC did not respond to attempts to contact it last night.

BT, having hit its deadline, has agreed a contract variation, signed yesterday, which the department said would save the NHS £112m, or about 12 per cent of the contract value, as part of the £600m savings the health service is seeking on the programme as a whole.

As part of the deal, BT is now signed up to install much fewer full systems in London, with about half the hospitals likely to add clinical systems to their existing IT arrangements, rather than replacing everything, Ms Connelly said.

Allowing hospitals to choose other suppliers is already starting to happen in the south of England, although the first contracts for that have yet to be signed. That should start to take place from May this year, she said.

From: http://www.ft.com/cms/s/0/6a9f7ee2-3d26-11df-b81b-00144feabdc0.html