London gets 'core package' only, concedes minister

Health minister Mike O'Brien has defended the government's NPfIT deal for the capital, but says trusts will have to pay separately for 'add-ons'

O'Brien told the Financial Times that the new National Programme for IT deal for London "is not much smaller in scope" than the original one, but added: "Rather than providing a comprehensive package, we are now providing a core package with add-ons that can be purchased separately by the local health providers if they want them."

BT has agreed to cut £112m from the cost of its local service provider contract to the NHS in London, in return for reduced functionality, detailed in a letter from NHS London chief executive Ruth Carnall.

This will involve some of London's acute trusts adapting their existing patient administration systems with clinical functionality, rather than getting a new Cerner Millennium suite as originally planned.

The Department of Health is yet to reach agreement with CSC, its local service provider for the North, Midlands and East, covering 60% of England. It is hoping to save a total of £600m from NPfIT's total budget.

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