{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:26Z","timestamp":1777851986840,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2008,6,1]],"date-time":"2008-06-01T00:00:00Z","timestamp":1212278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:p>The multi-billion NHS Connecting for Health programme in England has completely reconfigured the relationships between the Department of Health, the National Health Service (NHS), primary care computing suppliers and healthcare professionals (including general practitioners). The implications of this reconfiguration are now becoming apparent and have potentially significant effects on the delivery of information and information systems in the health context. This article explores the changes in these relationships by drawing on comparisons with the previous system for procurement of primary care computing systems, which ran for much of the 1990s. The article also comments on characteristics of the CfH procurement\/ contracting process, the differing responses of suppliers, and the role of the existing installed base as an actor in building a new infrastructure for health records.<\/jats:p>","DOI":"10.1177\/1081180x08089319","type":"journal-article","created":{"date-parts":[[2008,5,13]],"date-time":"2008-05-13T06:32:52Z","timestamp":1210660372000},"page":"113-124","source":"Crossref","is-referenced-by-count":1,"title":["Reconfiguring the health supplier market: changing relationships in the primary care supplier market in England"],"prefix":"10.1177","volume":"14","author":[{"given":"Bob","family":"Sugden","sequence":"first","affiliation":[{"name":"Centre for Software Reliability School of Computing\rScience University of Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob","family":"Wilson","sequence":"additional","affiliation":[{"name":"University of Newcastle upon Tyne Business School University\rof Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Cornford","sequence":"additional","affiliation":[{"name":"University of Newcastle upon Tyne Business School University\rof Newcastle upon Tyne Newcastle upon Tyne NE1 7RU, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"issue":"4","key":"atypb1","first-page":"50","volume":"3","author":"Pringle M.","year":"2005","journal-title":"The New Generalist"},{"key":"atypb2","volume-title":"Information for Health A1103","year":"1999"},{"key":"atypb3","volume-title":"Proceedings of the American Medical Informatics Association (AMIA)","author":"Purves I.N."},{"key":"atypb4","unstructured":"http:\/\/www.connectingforhealth.nhs.uk\/miquest."},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/1460458204048510"},{"key":"atypb6","volume-title":"Proceedings of the American Medical Informatics Association (AMIA)","author":"Booth N.S."},{"key":"atypb7","volume-title":"Understanding the evolution of standards: alignment and reconfiguration in standards development and implementation arenas","author":"Williams R."},{"key":"atypb8","volume-title":"Information for Health: An Information Strategy for the Modern NHS 1998-2005","author":"NHS Executive.","year":"1998"},{"key":"atypb9","volume-title":"Initial guidance for existing system suppliers, Version 2.1.4","author":"NPfIt.","year":"2004"},{"key":"atypb10","unstructured":"http:\/\/www.bma.org.uk\/ap.nsf\/Content\/NPfIT0404."},{"key":"atypb11","volume-title":"The National Programme and Primary Care Informatics: A Discussion Paper on the Future of Primary Care Computing","author":"British Computer Society Primary Healthcare Specialist Group."},{"key":"atypb12","unstructured":"http:\/\/www.emis-online.com\/companyprofile.asp."},{"key":"atypb13","volume-title":"EMIS News in Brief","year":"2005"},{"key":"atypb14","unstructured":"http:\/\/www.isoftplc.com\/."},{"key":"atypb15","unstructured":"www.INPS.co.uk."},{"key":"atypb16","volume-title":"Systems and tools to networks and infrastructures: from design to cultivation. 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