To: James Strauss who wrote (16986 ) 5/15/1998 3:53:00 PM From: John Mansfield Respond to of 31646
[HEALTHCARE] 'NHS falling behind in Millennium bug battle' Thinking of the TAVA / CMED alliance... John _____ 'NHS falling behind in Millennium bug battle By Celia Hall, Medical Editor External Links Global impact of Year 2000 bug - CSSA Year 2000 Information Service The Millennium Bug - Year 2000 Millennium resource Year 2000 Information Centre The Millennium bug and what to do about it - Execom ONE in seven hospital trusts has told the National Audit Office that it has no confidence that its medical equipment will work in the year 2000 because of the Millennium bug. Target dates for adjusting NHS computer systems are beginning to slip, says the audit office, adding that "in many cases robust contingency plans have yet to be developed". Potential problems involve medical equipment on wards and devices in operating theatres, lifts, telephones and security systems that contain microprocessors. The Department of Health knows contingency plans will be needed to cover systems that have not been satisfactorily changed and that the challenge is "massive". Baroness Jay, the health minister, announced yesterday that the NHS was ordering improved management, more information and more planning to get the computer technology ready for 2000. The cost of avoiding failures in computer systems and electronic devices will be at least œ230 million, says the audit office. It says the timetable is tight and time is running out. The report, published today, also says that one in 10 NHS trusts is not confident that its administrative computer systems will be compliant with the year 2000. In addition, the report, The Millennium Threat II, found that almost all health authorities, 92 per cent, said awareness among family doctors was "not good" and a third said it was poor. The report also criticises the lack of central planning, which means duplication of work as hundreds of hospitals ask the same questions of their main suppliers. To save space, many computer programs use the last two digits of a date, "98" instead of "1998". This means computers cannot tell the difference between 1900 and 2000 and will fail or produce meaningless information unless they are changed. The NHS uses thousands of infusion pumps with embedded microchips, giving accurate doses of drugs to seriously-ill patients. If the pumps are not recalibrated every six months, a safety device shuts them down. At the year 2000, the device will assume it has not been recalibrated for 100 years and stop functioning. Sir John Bourne, head of the audit office, said: "From our survey, it is clear NHS trusts have concerns about meeting the timetable." He recommends that the NHS Executive monitors progress very closely, "taking immediate action if necessary, to ensure that all health authorities and trusts successfully complete all elements of the project". He said the NHS executive should consider selective, direct intervention for trusts in trouble and increase efforts to tell GPs of the consequences of future problems. The report also covers the Department of Social Security, which has costed the work at œ43 million. The audit office found that it should "continue its well-structured approach" and take immediate action if timetables slip. The health department, expected to announce extra money to deal with the Millennium problems, said yesterday it was ordering a quarterly progress report from July to the end of 1999 involving doctors and nurses in risk analysis and planning. A third measure is to set a deadline of Sept 30, 1999 "to ensure that all parts of the NHS are fully prepared or have effective contingency plans in place". Baroness Jay said yesterday: "As the year 2000 approaches, the department's main concern is to ensure that patient care and safety are not compromised by technology problems. I recognise that the year 2000 presents us with a massive challenge in the health service. However, reports show good overall progress and they have identified the areas we need to focus on." Stephen Thornton, chief executive of the NHS Confederation representing health authorities and trusts, was "extremely disappointed" with the response to the report. "Nothing in this report surprises me," he said. "We need money and strong technical support, not more bureaucracy."telegraph.co.uk :80/et?ac=000158118408973&pg=/et/98/5/15/nmil15.html