• Jane Hendy, Barnaby C Reeves, Naomi Fulop, Andrew Hutchings, and Cristina Masseria.
• Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT. jane.hendy@lshtm.ac.uk
• BMJ. 2005 Aug 6; 331 (7512): 331-6.

ObjectivesTo describe the context for implementing the national programme for information technology (NPfIT) in England, actual and perceived barriers, and opportunities to facilitate implementation.DesignCase studies and in depth interviews, with themes identified using a framework developed from grounded theory.SettingFour acute NHS trusts in England.ParticipantsSenior trust managers and clinicians, including chief executives, directors of information technology, medical directors, and directors of nursing.ResultsThe trusts varied in their circumstances, which may affect their ability to implement the NPfIT. The process of implementation has been suboptimal, leading to reports of low morale by the NHS staff responsible for implementation. The overall timetable is unrealistic, and trusts are uncertain about their implementation schedules. Short term benefits alone are unlikely to persuade NHS staff to adopt the national programme enthusiastically, and some may experience a loss of electronic functionality in the short term.ConclusionsThe sociocultural challenges to implementing the NPfIT are as daunting as the technical and logistical ones. Senior NHS staff feel these have been neglected. We recommend that national programme managers prioritise strategies to improve communication with, and to gain the cooperation of, front line staff.

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