Fujitsu axed from NHS Contract

Thursday, 29 May, 2008

Fujitsu has been axed from a £896 million contract with the National Health Service after talks to resolve a contractual dispute broke down.

The dispute centred on the NHS's demand for more flexibility in providing electronic care records for patients across the south and west of England. Both Fujitsu and the NHS have confirmed the collapse of 10-month talks. The NHS's £12.7bn programme to provide every patient in England with an electronic care record will suffer as a result of this news.

National Outsourcing Association (NOA) Comment: The NHS's electronic patient record system has been dogged with problems. The Fujitsu retraction follows on from Accenture bowing out last year.

This leaves the success of the NHS project on a knife edge, with literally billions of pounds worth of tax payers' money being wasted already with more likely to follow it down the drain.

The consortium approach was intended to be a safer bet than outsourcing on a grand scale to just one supplier. This has proved to be the case as the other main contenders involved in the consortia - BT and CSC - might step into the breach. However, the consortia was small by industry standards - the deal was split into a few behemoth deals with suppliers, whereas the NOA predicted back in 2006 that it would be a safer option to split the programme into a series of small bites rather than a few large ones.

Fujitsu is a reputable company in the outsourcing industry and it wouldn't have pulled out for no reason. So why did it all go pear shaped?

• The award of these contracts was "rushed" through - the reasons for this could have been political or simply macho posturing - it has been implied that areas of the contract were woolly and the objectives were not clear. Outsourcing contracts - especially on this scale - take time

• It could be that the NHS's demands exceeded the scope of the project - contracts need to be flexible to cater for changing requirements. Nailing suppliers to the wall will invariably end in tears

• Large outsourcing projects are complex enough without being rushed; they require inputs and skills right across the board, especially from the people that actually have to use the systems. A watertight contract with SLAs and KPIs covering exact deliverables is vital for any successful outsourcing contract and the fact that the NHS demanded more mid-contract suggests that the contract was lacking

• Lack of consultation with end users was a problem - it is vital to make sure that liaison with key stakeholders happens at every stage

Once again, as with all public sector outsourcing disasters, it is the taxpayer who will foot the bill and lose out as the project is stalled for even longer.

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