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Granger era ends as DG leaves CfH

7 February 2008  

Richard Granger has left NHS Connecting for Health, the NHS IT agency responsible for the £12.4bn NHS IT programme, he has led for the past five years.

CfH staff and NHS Chief Information Officers began to be notified of Granger’s departure this morning.

The announcement ends a period in which it has been unlcear the extent to which Granger has been running CfH. He had originally been due to quit by the end of 2007, after announcing in July that he would quit.

A DH spokesperson told E-Health Insider this morning that Granger will not be replaced by an equivalent director general, but instead by a new director of programme and systems delivery at CfH. A new role of Chief Information Officer will be created, based in the DH, covering both the DH and NHS.

The spokesperson said: “We’ve just had Cabinet Office agreement that we can go ahead and start filling these roles.”

Until these recruitments are completed Matthew Swindells, who is currently leading the DH’s Informatics Review, with act as the DH’s CIO. Gordon Hextall, the chief operating officer of CfH will act as director of programme and systems delivery.

As previously reported by EHI Matthew Swindells is understood to have been fulfilling the CIO role in all but name since the launch of the review of NHS informatics, encompassing the NHS National Programme for IT and CfH, last year. The Swindells review has now been wrapped up into Lord Darzi’s review into the the future of the NHS.

Granger’s last day working for the DH was 31 January, with his last official appearance being a speaking slot at the Arab Health Conference in Dubai.

 Jon Hoeksma


Last updated: 12 February 2008 14:40

© 2008 E-HEALTH-MEDIA LTD. ALL RIGHTS RESERVED.


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Effective?

Unknown 349 weeks ago

Effective is doing the right things. Efficiency is doing things the right way. Personally, I can't see much evidence of either from CfH under Richard Granger.


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Effective or Not

Unknown 349 weeks ago

He was effective, the question is timescales and deliverables! and we still get the old chestnet of all GPs and trusts connected to a 'secure network' David, please note that N3 is NOT a secure network, even CFH own IG state that. If our leaders still continue to state incorrect comments about a 'success' you do have to wonder about the overall direction.


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Last appointment in the desert

Unknown 349 weeks ago

Nicholson described his contribution as extraordinary. It was certainly that.

But now we are told that CfH is to oversee all IT in the NHS. No need for a track record of success to qualify them to get in the way of progress across the board. Though it will be interesting when they continue to claim that N3 is only for CfH applications.

I fear the disaster continues...

(post edited by EHI)


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Move forwards?

Unknown 349 weeks ago

I don't think anyone with even the slightest insight into the delivery of clinical care would have contemplated - even in their wildest dreams - of attempting to deliver something like CfH.

The prognosis was clear back in 2003.


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Time to move forward

Unknown 350 weeks ago

After reading the above comments the answer is obvious, let the clinicians take over deliver the CfH programme and make it a success! Any takers?


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A holiday maybe?

Unknown 350 weeks ago

So what next, A little trip to Norway for some husky hunting?


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Re EHR research

Unknown 350 weeks ago

Whilst it may well be a good idea to carry out some research on EHRs, it all adds time delays to actually doing something useful for clinical staff. The years led by RG have seen vast amounts of money going to large firms such as iSoft and Cerner who have delivered little. This has left smaller suppliers, who have served the specialist clinical side of NHS IT very well in the past, in a very difficult situation and many will be lost. Research on an EHR may well identify that what they provided is what is needed, but by then they'll be gone.


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Research into an EHR is needed.

MarvinLittlewood 350 weeks ago

Granger did well to persuade the Treasury to invest in NHS IT at a time when other Government IT projects were being exposed either as failures or very late. Unfortunately he seems to have relied too heavily on the commercial sector to deliver. In turn, the various companies were over optimistic - perhaps in a bid to win contracts. Lack of an Electronic Health Record (EHR) is no surprise when HL7/SNOMED CT, OpenEHR and recent reviews of health informatics research comment that there is a long way to go before we achieve such a thing. It is time to balance the investment and have a concerted research led effort to define an EHR.


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MarvinLittlewood
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Deadlines, deadlines

Unknown 350 weeks ago

I thought Mr Granger was supposed to leave by the end of 2007? I suppose it's just one more missed deadline.

(post edited by EHI)


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Quite so

Unknown 350 weeks ago

'The problem is that the contracts in place do not deliver what the NHS wants.'

Isn't this largely the same failing that the old Information Authority had? The IA never really saw the NHS as its customer - in the hierarchy of people to satisfy, it was always politicians first, followed by the DH, then 'patients' (often just a synonym for other vested interests). CFH has broadly the same attitude and Granger was brought in as someone who would force change on an unwilling and uncooperative NHS.

Unfortunately, just trying to provide the NHS with what it wants may not be enough without a significant culture change in the service. With chief execs waking up to the fact that IT is important and needs investment, and IT managers realising that systems have to work for the entire NHS and not just their little corner of it.


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