Re: Bits where it matters.
> clunky web interface with no simple export
There’s a reason for that. The suppliers know NHS IT procurement is naive so they only sell a web front. They can charge more for “integration” with other systems.
The main reason NHS IT is a mess is because patient data is under control of primary healthcare providers; the general practitioners. Until patient data is wholly owned and controlled by patients themselves we can never have multiple operating models, such as gp->consultant, independent service provision, hospital@home.
Anyway, hospitals are just hotels with attending physicians. Best to separate out the services.