SHOULD THE NATIONAL-HEALTH-SERVICE HAVE AN INFORMATION STRATEGY

The National Health Service (NHS) Review committed the NHS to the development of sophisticated information management processes and to the creation of a massive information technology infrastructure, and the success of the new arrangements depends critically upon progress in these two areas. Yet the NHS has a modest track record in both, which the period since the review has served only to highlight. The article examines the political environment in which information is exchanged and technology implemented, in order to explain the current state of play and the likely pace and direction of future developments. In particular it focuses upon the role of the NHS Management Executive in influencing these developments, and argues that success will depend on the extent to which national information policies encourage collaboration between key groups of managers and professional and support the implementation of contracts for health services.