In message <[log in to unmask]>, Alan Hyslop <[log in to unmask]> writes >In-Reply-To: <[log in to unmask]> >My GP-UK membership pre-dates even Ahmad's resignation in a huff about a >year ago (shortly followed by a gracious accession to 'come back' pleas >from his admirers). Now for the first time Mary Hawking reminds me, >albeit gently, that I haven't necessarily got the right masonic >credentials, viz: > >> Typical executive remark! > >> PS Alan,previously you've identified yourself - this time you >> haven't.Is that significant?!:-))) > >Oh well. I'll just have to revert to ensuring that you guys get the >systems you deserve :-)) The *implication* is that the Executive have a role in the design of systems.I had the impression that design (and purchase) of systems was up to the individual practice - and that this caused some problems for the executive. Could you elaborate ? I'll put up a couple of points to facilitate discussion - I _think_ (but I'm not sure!) that we might agree on these - if nothing else. 1.Installing a computer in a general practice is a major decission.There are issues concerning the "buisiness case"(we didn't call it that - but thats what it was!) , why we needed it, what we wnted it to do, and how far we were prepared to suffer the upheaval of a practice computer to gain the advantages we, as a practice, have identified. 2.Many - maybe most - computerised practices installed their first computer before the launch of the IM&T Stratagy in 1992. 3. IF the RFA was strictly enforced - i.e. NO reimbursement for individual practices whose systems did not conform to the latest RFA, computerisation at the practice level would be stopped.Now. This would have consequences for the Strategy. Mary > >Alan Hyslop >Computing & IT Strategy >Management Executive, NHS in Scotland. > -- Mary Hawking Kingsbury Court Surgery Church Street Dunstable Beds LU5 4RS tel:01582 601289 (home) 01582 663218 (surgery) fax:01582 476488 (surgery) %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%