The National Audit Office found that NHSX was unclear about the whole-life costs and benefits of the different approaches to digital transformation at a local level.50 For example, NHSX expected trusts to take one of three approaches to replacing their electronic patient records: • an enterprise-wide commercial system, which can have high upfront costs; • a “best of breed” approach, integrating different systems, which can have higher running costs; and • in-house systems built by the NHS. NH...

The National Audit Office found that NHSX was unclear about the whole-life costs and benefits of the different approaches to digital transformation at a local level.50 For example, NHSX expected trusts to take one of three approaches to replacing their electronic patient records: • an enterprise-wide commercial system, which can have high upfront costs; • a “best of breed” approach, integrating different systems, which can have higher running costs; and • in-house systems built by the NHS. NHSX acknowledged that the NHS cannot afford to implement the enterprise-wide system in every trust. A 2019 survey of 186 IT leaders across the sector foun Type: conclusion | Number: 23 | Response status: not_addressed