Finally, the review of Laura Wade-Gery’s NHS IT organizations has been published and, as Digital Health News has exclusively revealed, it recommends the removal of NHS Digital and NHSX.
Instead, the review says NHS England and Improvement must take responsibility for digital and data within the broader transformation agenda and incorporate it at all levels. The decision to implement the basic recommendation was announced by NHS England and the director general of improvement, Amanda Pritchard, to staff on November 22nd.
The review states that despite the great work done, the digital transformation is currently fragmented across the system, divided between different agencies and “often overshadowed by day-to-day requirements.”
He continues: “Many senior leaders see digital as a non-integrated independent facilitator and there needs to be greater clarity on the roles of nationals, regionals and locals in driving transformation.”
The review goes on to state that there is “a variable commitment, experience and interest among senior leaders in the transformation of the digital system, with too few integrative leaders able to effectively connect management, clinic and digital.”
More problems are identified in data fragmentation and technology, resulting in “lack of clarity about target state data and technology architecture.”
This serves as a prelude to the review of the review: “It is therefore the conclusion of the review that the NHS center (defined as NHSEI, X and D), as it is currently constituted, and despite advances considerable and the best intentions of many people, is still far from being able to achieve the goal of a digitally enabled health system that uses modern technology and data exchange to create joint services to support all citizens. and improve results “.
The key organizational recommendations of the review are for NHSX to become the strategic function of a new Directorate of Transformation within NHS England and Improvement, while NHS Digital is integrated with NHS England and Improvement ‘as a technology function and as a hub for NHS technology excellence “. .
Former head of Tesco, Wade-Gery was appointed President of NHS Digital in July 2020 and then Health Secretary Matt Hancock asked him to lead a review of NHS IT organizations. McKinsey consultants were paid more than £ 600,000 to carry out the review which has been pending publication since last November.