"Currently you have 50 odd trusts doing what the hell they want "
207 care commissioning Groups,
35 community providers,
10 ambulance trusts
~7500 GP Practices.
AND 853 independent commercial and non commercial organisations providing care on behalf of the NHS
All doing their own stuff buying their own solutions and creating their own Silos
I agree with centralisation as LONG as its is built with security first and Ministers go to Jail if there is a data breach. and data ONLY used within the NHS for treating an individual unless individual "informed consent" is given for each use not related to that individual patients care.