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An internal NHS document says that problems arising from the implementation of the Care Records Service at the A&E department of the Royal Free Hospital, Hampstead, could continue indefinitely. The document "Lessons Learnt from the Royal Free Hospital Emergency Department", refers to multiple problems and says there is a risk "the present situtation will continue indefinitely".

Gordon Caldwell, a UK consultant in endocrinology and diabetes, writes to the IT Projects blog about a few of the practicalities of trying to make Cerner work. He says that its use in hospitals may require extra staff (which is the experience of trusts so far).

Negotiations between NHS Connecting for Health and CSC over revisions to £3bn worth of contracts under the NHS's National Programme for IT [NPfIT] are expected to be concluded in the next two weeks, we have learned. The talks over a contract "re-set" had been expected to be concluded by May this year.

Below is a transcript of my interview with Andre Snoxall, e-record programme director at Newcastle Upon Tyne Hospitals NHS Foundation Trust, which has broken away from the National Programme for IT [NPfIT]. The Trust is to implement Cerner systems from the University of Pittsburgh Medical Center.

Tola Sargeant, an informed commentator at Ovum on the healthcare IT market, says that after years of "blight" in healthcare IT caused by the National Programme for IT [NPfIT] the smaller companies have "more reason to be positive about the sector than they have had for a long time".

The Newcastle Upon Tyne Hospitals NHS Foundation Trust is considering an interesting product, dbMotion, which allows doctors and nurses to see a patient's medical history even when parts of it are in many different legacy systems, without establishing a central database.

Patrick Kesteven, a consultant haematologist at Freeman Hospital, Newcastle, has a succinct explanation for a decision by his trust board to break away from the £12.7bn National Programme for IT in the NHS, "The National Programme was taking forever," he told Computer Weekly.

Directors of the Newcastle Upon Tyne Hospitals NHS Trust say their plans to break away from the NHS's £12.7bn national IT scheme demonstrate value for money - even though they could receive "free" services under the national scheme.

John-Jo Campbell, Interim CIO for the NHS South Central Strategic Health Authority, has outlined the tentative arrangements for the transfer of work from Fujitsu, the outgoing local service provider in the south of England under the NHS's National Programme for IT.

Fujitsu is reported to be seeking £700m from the Department of Health after its £1bn contract as a local service provider on the National Programme for IT was terminated. The Liberal Democrat Shadow Health Secretary, Norman Lamb said the disclosure was further evidence that the NPfIT was in his view hopelessly flawed.