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Gold, incentives and meh

The only way to climb Mount IT

From Dr John Havard, Saxmundham, Suffolk

The ongoing iSoft fiasco should invite critical thought on how to tackle major IT projects.

The £6.2bn superhighway of national health communication seems like the route to the summit of Everest without any base camps. It is essential for the body to slowly adjust to altitude and to reach the goal along a safe route. There are a multitude of really simple tasks that could be done cheaply and make such a difference.

When a patient presents with several problems, I always tackle the simplest one first.

If I can help, then this drives a climbing peg of trust and

confidence into the rock face that allows the patient

and me to move up to attempt more difficult issues. If things do go wrong then we can

pick up the pieces from 'base camp' and not the very

bottom. It's common

sense, really.

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