Moving beyond the cathedral model for IT development

We’re finally abandoning England’s so called cathedral model for NHS IT.1 It is worth looking at New Zealand, which has achieved high levels of computerisation, such as laboratory tests, discharge summaries, and outpatient letters routinely sent to general practitioners electronically; remote access to laboratory and other reports from any public sector hospital in the country; and patient remote access to their GP record. All this at, from 1994-2008, an estimated cost of £15m …