Decentralisation...
...one of those lovely buzzwords isn’t it ? It smacks of democracy, power to the people, two fingers to Big Brother, isn’t decentralisation just great ?
The railways were decentralised to start with, that’s why they all used different track gauges, and each company’s trains couldn’t run on another company’s tracks. How their passengers *adored* having to change trains in the pouring rain ! Eventually the train companies realised that such a ‘choice’ was a pile of cobblers : in order for anyone to get anywhere efficiently, they all had to agree on a national standard track width (and on the continent, inter-national standards).
This is effectively the way that IT was implemented in the NHS for a number of years : every local area bought their own system – who cared if the NHS in the next city used something completely incompatible ? Why would a hospital in, say, Manchester *ever* want to access the health record for a person who lived in Liverpool ? Eventually some bright spark realised that there had to be a national standards to allow data to be transferred, or we may as well stick with typewriters/liquid paper/envelopes/stamps, and people dying unnecessarily in A&E because their medical records are in filing cabinets at their GPs (which are 100 miles away, and closed til Monday morning).
So now the bright sparks in the Tory party want to roll back that centralisation, on the grounds that NPfIT has – gasp ! - cost *some money* (£12 billion over 10 years – a whole £20 per UK citizen per year ! What an absolute fortune !!!). This is nothing but political point-scoring that flies in the face of any technical logic. Which is, of course, what we pay politicians for...business as freakin' usual in the sinking ship SS Great Britain.
Mine's the one with the passport.