![]() The delays have related, at least in part, to ambitious expectations about: the nature of EHR systems the time needed to build, configure and customise the software the work needed to ensure that these systems were supporting rather than hindering care provision and the training and support needs of end-users. Main findings: Implementation of the NHS CRS software systems has proceeded much more slowly and with, as yet, substantially less functionality than was originally planned. Fieldwork was undertaken in six complimentary work-packages in which we sought to understand how the participating trusts made the NHS CRS work (or not) in their organisations to identify local consequences of implementing the new systems, the costs incurred and to assess whether the new systems resulted in a reduction in missing information in outpatient clinics. Sites were opportunistically sampled according to their current or planned stage of implementation, and to provide a variety with respect to: location, size, type of care provided, Foundation and teaching status, and NHS CRS software system. Methods: A mixed methods case study-based longitudinal evaluation undertaken in 12 ‘early adopter’ sites across the three geographical implementation clusters. ![]() ![]() Aims: To undertake an evaluation of the implementation and adoption of the NHS CRS in secondary care sites in England, across the three clusters: North-Midlands and East South and London. Central to this National Programme for Information Technology (NPfIT) was the creation of a comprehensive “cradle-to-grave” electronic health record (EHR) – the NHS Care Records Service (NHS CRS) – that could be shared across a range of NHS providers for all 50 million residents of England. Background: In 2002, the National Health Service (NHS) in England embarked on a major technology-based transformation of healthcare.
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