Thanks for summarising this Clive. I guess it raises a couple of questions in my mind.
1. Not having EPRs (and other basic electronic systems) is also a risk to patient safety. I know there are many gaps in many hospitals where paper records are still in use. Has there ever been any assessment of the risks this poses?
2. The NHS has some fairly demanding and detailed processes and standards for ensuring the safety of IT systems for example DTAC and the various medical device regulations that apply. This suggest to me these are ineffective. Rather than add another layer of complexity to address the points raised, is it time to take a step back? Simplify, clarify and modernise how we use IT to actually help staff and improve patient care.
until