The appointment system is working good and pretty well in use throughout...but there's the rest of the system...and where's any mention of incorporating genomics?  We will have that battle here in the US as well with new queries and data structures to be written as well....we will want to know as personalized medicine moves in...BD 

The National Audit Office (NAO) has published a report that includes some sharp criticisms of the programme's implementation and states that confidence in it has been undermined. However, the report acknowledges the programme has stayed within its budget and that its vision remains feasible.

"The original timescales for the electronic Care Records Service [CRS], one of the central elements of the programme, turned out to be unachievable, raised unrealistic expectations and put confidence in the programme at risk," the NAO said in a statement released with the report on 16 May, 2008.

Although Choose and Book, the electronic hospital-appointment- booking system, is now nearly fully deployed, usage has been less than expected, with 6.7 million bookings made against an original forecast of 39 million by January 2008. Some GP practices are using the system to make 90 percent of their patients’ hospital appointments, but other practices are using it for less than 20 percent.

NHS IT leaving doctors 'thoroughly disillusioned' - ZDNet.co.uk

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