1. Why information (technology) matters to doctors The BMA view on NPfIT

2. Information and patient care central to medical practice not an e-phenomenon importance of IT in healthcare - the benefits of technology Warning: must be patient-focused not technology-led

3. Current practices - the need for improvement Past failures of NHS IT Multitude of systems Lack of interoperability Under-investment in secondary care

4. A national approach to NHS IT Doctor’s support Potential benefits Change management programme Need for consultation

5. Why is the BMA concerned? lack of early consultation aggressive implementation schedules effect on the doctor-patient relationship effect on working practices and existing agreements

6. The need for consultation 70% of clinicians say they have not been consulted (Aug 2004) best view of relevant work-flows early problem spotting engagement and motivation building a skills base

7. The issues Accuracy of records transfer Security Confidentiality and consent Monitoring Audit Legal issues

8. Positive steps Cluster clinical advisory groups Care Records Development Board Front Line Support Academy National and regional events Roadshows Stakeholders’ conference

9. What is needed for success Communication with clinicians Local ownership Information for patients Benefit realisation Evaluation and improvement Honesty, trust and openness

10. Understanding Resource Needs Adequate Warning of meetings/training Back fill Training Operational needs

11. What doctors want Functional systems which are well supported which enhance and enrich working practices and improve patient relations and care