Have your say on our vision

With regards to tech development and nhs every nhs trust is doing the same thing their own way. Trusts go individually to the same supplier. Needs decision-making at regional level even just within geographical regions.

The NHS has been 'top heavy' with management and consultancies producing reams of 'plans', forecasts and incongruous edicts, this is pretty well known. Whilst asking for new ideas on the NHSX vision may be an admirable stab at a mountain of a problem, is not the real problem that needs to be addressed first, the structure of the NHSX and its mechanisations? Collating good ideas will be pointless if they are not acted upon or analysed with sufficient competence.

Given that today NHSX has asked the London office of Swiss firm Zuhlke Engineering to develop and support the tracing app, should the NHSX Vision be taken with a pinch of salt?

Great stuff here. However, not much mentioned about GP practices. There has to be scope for super-practices or PCNs to control their GP IT budget. The commissioners (CCGs) don't always understand what's going on at ground level and in many cases are led down a path by the Shared Service/CSU which goes against some of the requirements in the plan. For example, we're now having to lead a sub-group of practices to migrate themselves to NHSmail (without the Shared Service/CCG support) as it's against their (SS) business interests to do so. It's bizarre that just getting this basic service is requiring us to work around the SS/CCG. How about a pilot programme, similar to GDE, for practices that are forward thinking and are deploying tools themselves? Thanks