VIPSolutions logo ✨ VIPSolutions

Read the Case Study below and answer ALL of the questions that follow. Reinventing the wheel – a private internet for medical records wastes 1 0 billon – stakeholder case study by Geoff Reiss, Honorary Fellow of Association for Project Management ( APM ) | reviewed: 2 4 / 0 4 / 2 0 2 4 This case study reviews a failed IT project to digitise medical records at a loss of 1 0 billion. Lack of Stakeholder Management played a large part in making this such an expensive fiasco. To my mind The National Programme for IT , NPfIT, is the worst example of a total lack of stakeholder management and a total waste of public funds. Certainly, nothing competes with its vast waste of money. In a nutshell NPfIT was conceived as a central database of every UK resident ’ s medical records in a secure system available to all suitably authorised medical professionals. Like many projects this started life as an idea that seems great at the time. This was an idea from the then new Blair Labour government. They did of course consult assorted management consultants all of whom rubbed their hands in glee at the vast fees on offer for a vast programme such as this. A key benefit of this system was based on access to your health care records. If you were away on holiday, perhaps skiing in Scotland or surfing in Cornwall, and became ill or injured, the local medical people would have access to your medical records. When the programme started, I happened to chair the Programme Management Special Interest Group within the Association for Project Management. As programme managers we were especially interested in benefits so , yes, we could see the lifesaving potential of this new idea. To understand the benefit better we asked the NHS how big a problem lack of medical records at the point of delivery currently was. We expected to hear that a certain number of people was treated inappropriately, or their treatment was delayed due to this lack of data access. After some while we did get a response. “ We have no idea, ” came the answer, “ we do not store this data. ” So , we were off to a bad start committing something in the order of fifteen billion pounds to resolve a problem of unknown size. It might have been a problem for one person each year. It is important and rather shocking to know that the ‘ b ’ word is accurate Question 2 ( 2 5 Marks ) There are different forms in which communication models can represent the communication process. Evaluate the two models that you have studied in the context of the case study. Appraise these models to the case study project.

Question:

Read the Case Study below and answer ALL of the questions that follow. Reinventing the wheel – a private internet for medical records wastes 1 0 billon – stakeholder case study by Geoff Reiss, Honorary Fellow of Association for Project Management ( APM ) | reviewed: 2 4 / 0 4 / 2 0 2 4 This case study reviews a failed IT project to digitise medical records at a loss of 1 0 billion. Lack of Stakeholder Management played a large part in making this such an expensive fiasco. To my mind The National Programme for IT , NPfIT, is the worst example of a total lack of stakeholder management and a total waste of public funds. Certainly, nothing competes with its vast waste of money. In a nutshell NPfIT was conceived as a central database of every UK resident ’ s medical records in a secure system available to all suitably authorised medical professionals. Like many projects this started life as an idea that seems great at the time. This was an idea from the then new Blair Labour government. They did of course consult assorted management consultants all of whom rubbed their hands in glee at the vast fees on offer for a vast programme such as this. A key benefit of this system was based on access to your health care records. If you were away on holiday, perhaps skiing in Scotland or surfing in Cornwall, and became ill or injured, the local medical people would have access to your medical records. When the programme started, I happened to chair the Programme Management Special Interest Group within the Association for Project Management. As programme managers we were especially interested in benefits so , yes, we could see the lifesaving potential of this new idea. To understand the benefit better we asked the NHS how big a problem lack of medical records at the point of delivery currently was. We expected to hear that a certain number of people was treated inappropriately, or their treatment was delayed due to this lack of data access. After some while we did get a response. “ We have no idea, ” came the answer, “ we do not store this data. ” So , we were off to a bad start committing something in the order of fifteen billion pounds to resolve a problem of unknown size. It might have been a problem for one person each year. It is important and rather shocking to know that the ‘ b ’ word is accurate Question 2 ( 2 5 Marks ) There are different forms in which communication models can represent the communication process. Evaluate the two models that you have studied in the context of the case study. Appraise these models to the case study project.

This is AI generated Response.
Asked by: Veera manikanta
Created at: 2025-08-13 02:03:01

Final Answer:

Rendered Raw Text
Did you like this answer?
Certainly! Here’s a structured answer for **Question 2**, focusing on evaluating **two communication models** (typically, the Shannon-Weaver Model and Berlo’s SMCR Model are studied at undergraduate/postgraduate level) **in the context of the NPfIT case study**, and then appraising their application to the project. --- ### Question 2 **There are different forms in which communication models can represent the communication process. Evaluate the two models that you have studied in the context of the case study. Appraise these models to the case study project. [25 Marks]** --- #### **Introduction** Effective communication is a central aspect of stakeholder management and project success. The case study of the NPfIT project illustrates how poor communication and lack of stakeholder engagement can lead to catastrophic project failure. Two commonly studied communication models are the **Shannon-Weaver Model** and **Berlo’s SMCR Model**. This answer will evaluate these models and appraise their application to the NPfIT project. --- ### **1. Shannon-Weaver Communication Model** #### **Overview** The **Shannon-Weaver Model** (1949) is a classic linear model that defines communication as a process involving: - **Sender** (information source) - **Encoder** - **Channel** - **Noise** - **Decoder** - **Receiver** It emphasizes the transmission of a message from sender to receiver, and identifies noise as anything that distorts the message. #### **Evaluation in the NPfIT Context** - **Sender**: The government and consultants initiating the project. - **Message**: The vision of a centralised digital medical record system. - **Channel**: Reports, meetings, documentation, presentations. - **Receiver**: NHS staff, medical professionals, patients, IT teams. - **Noise**: Lack of data, unclear requirements, political pressures, jargon, stakeholder resistance. In the NPfIT project, the **message** (the necessity and benefits of the new system) was not effectively communicated to the **receivers** (NHS staff, patients, IT implementers). The **noise**—such as lack of evidence for the problem’s size, absence of clear requirements, and different stakeholder expectations—distorted the message. This led to confusion, lack of buy-in, and resistance. #### **Appraisal** - The linear nature of the Shannon-Weaver model highlights how one-way, **top-down communication** can fail in complex projects if feedback is ignored. - The model exposes the "noise" that was present in NPfIT (e.g. ambiguity about the problem size). - However, it is **limited** because it does not adequately represent feedback loops or the interactive, social nature of organisational communication, which was crucially missing in the project. --- ### **2. Berlo’s SMCR Model** #### **Overview** Berlo’s **SMCR Model** (1960) elaborates communication as a process with: - **Source** (Sender) - **Message** - **Channel** - **Receiver** It emphasizes the skills, attitudes, knowledge, social systems, and culture of both sender and receiver, and considers **context** and **feedback** as essential. #### **Evaluation in the NPfIT Context** - **Source**: Government/consultants (with limited understanding of NHS operational realities) - **Message**: The rationale, benefits, and implementation plan for NPfIT - **Channel**: Official reports, technical documents, policy briefings, consultations - **Receiver**: NHS staff, patients, IT professionals (with differing levels of IT literacy, attitudes, and culture) - **Context**: Complex, hierarchical NHS environment, history of IT project failures Berlo’s model highlights the importance of **attitudes, knowledge, and cultural context**. The government and consultants failed to adapt the message to the **receivers' context**: NHS staff were not convinced of the need or practicality, and frontline staff were not consulted regarding feasibility or utility. This led to apathy or resistance. #### **Appraisal** - The SMCR model is more **dynamic and nuanced**, emphasizing **receiver characteristics** (skills, knowledge, attitudes), which were not adequately considered in NPfIT. - The model’s focus on context and feedback shows that communication should have been **two-way**, allowing NHS staff and users to express concerns, provide input, and shape the system. - The lack of adaptation to the **social and cultural system** of the NHS contributed to the project’s failure. - If applied rigorously, the SMCR model would have encouraged a more participatory, stakeholder-driven communication approach, potentially averting many of the project’s pitfalls. --- ### **Conclusion** In summary, both the **Shannon-Weaver** and **Berlo’s SMCR** models offer valuable insights into the communication failures of the NPfIT project: - The **Shannon-Weaver model** underscores the pitfalls of one-way, top-down communication and the effects of "noise" (unclear requirements, missing data). - **Berlo’s SMCR model** highlights the importance of understanding the receiver’s context, attitudes, and the need for feedback in achieving effective communication. Had the NPfIT project employed a more interactive, stakeholder-sensitive communication approach as suggested by Berlo’s model, and been more aware of communication barriers identified by Shannon-Weaver, it may have achieved better stakeholder engagement and project outcomes. --- **(Approx. 700 words – this can be shortened or expanded depending on exam requirements)** **References (suggested for academic context):** - Shannon, C.E. and Weaver, W. (1949). *The Mathematical Theory of Communication*. - Berlo, D.K. (1960). *The Process of Communication*. - Association for Project Management (APM) (2024). Case study: Reinventing the wheel – a private internet for medical records wastes £10 billion. --- **If you need a shorter or more concise answer, let me know!**

📢 Instructions:

  • Ask anything relatd to above question only.
  • For new Question goto :

Study Help, Fast Answers

VIPSolutions focuses on clear, step‑by‑step explanations so you can learn quickly. Whether you need an AI‑generated walkthrough or a short hint to get unstuck, each solution is organized for fast reading and easy review later.

Search similar questions, compare approaches, and bookmark the best answers for revision. Our goal is simple: quick, reliable study help that feels natural—not noisy.