Over 30 million people in the United Kingdom now use the Internet every day, and around 12 million people use mobile phones to access the Internet. Can the NHS start to make effective use of this rapid development in information technology to improve communication between professionals and patients, and patients’ experience of their healthcare? This question is discussed by Helen Atherton and I in an article published in the Journal of the Royal Society of Medicine. We also give some examples of how clinicians and managers can begin to incorporate online technologies into their day-to-day practice. Online technologies and the ‘information revolution’ are changing the delivery of health services in the NHS and health systems in many other countries. Clinicians and managers need to act to take advantage of these developments now or risk being left behind, as their patients become increasingly familiar with the use of online and mobile communication technologies. This will in turn lead to the NHS is seen as a technologically backwards health system that has failed to take advantage of this information revolution.
NHS budgets are under considerable pressure. It is therefore unsurprising that many NHS Integrated Care Boards (ICBs) In England will aim to prioritise price in contract awards, But this approach is a significant threat to community-centred healthcare. While competitive tendering is a legally required, an excessive focus on costs in awarding NHS contracts risks overshadowing key factors such as established community trust, local expertise, and the long-term impact on continuity of care. This shift towards cheaper, often external, commercial providers threatens to cut the links between communities and their local health services. The argument that competitive tendering is solely about legal compliance, and not cost, is undermined by the very nature of such tendering, which by design encourages the lowest bid. This approach risks eroding the social fabric of local healthcare provision, where established relationships and understanding of specific community needs are essential. Establishe...

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