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Wrigley Is Leading Burnham Down an FDP Off-Ramp to Nowhere
The select committee wants to exit the Palantir contract. There is no alternative by next March. 139 Trusts are running live clinical products on FDP today. The off-ramp leads nowhere, and Wrigley knows it.

Tom Bartlett
5 days ago4 min read


Parliament knows. The regulators know. The professional bodies know. No Trust board has acted.
NAO, CQC, HSSIB, Ockenden, Amos, the Royal Colleges. Every source identifies fragmented clinical information as a patient safety risk. No Trust board has acted.

Tom Bartlett
Jul 76 min read


The FDP Break Clause Is Dead. The Government Just Hasn't Said So Yet.
Rob Thompson, the Chief Digital, Data and Technology Officer for DHSC and NHS England, told the committee that if the government chose to exit the Palantir contract and reprocure from a different supplier, the process could take "anywhere between one and three years depending upon the complexity, size and scale of what you're doing."

Tom Bartlett
Jun 2610 min read


Every Trust is running this dangerously high clinical risk. Can your Board see it?
Clinical teams are making safety decisions on spreadsheets and whiteboards. No Trust has this risk on its register. Five questions for your next board meeting.

Tom Bartlett
Jun 247 min read


The Culture of Silence: How Flawed Claims Reached Parliament While Patients Waited for Surgery
Peer-reviewed evidence of FDP effectiveness exists, was published a month before the BMJ critique, and has been erased from the debate. Here is the proof.

Tom Bartlett
Jun 1210 min read


Your competitors are already inside the NHS's biggest data platform. Are you?
While health tech companies wait for political clarity on FDP, their competitors are already inside the platform building products. 137 NHS Trusts are live. The Solutions Exchange is opening. The question is whether you are ready.

Tom Bartlett
Jun 104 min read


Has NHSE handed Palantir "unlimited access" to patient data?
The Financial Times reported this week that NHS England has granted Palantir contractors "unlimited access" to patient data.
The headline is alarming, but the reality is more mundane, and I can say that with some authority: the NHSE engineering team I led built the National Data Integration Tenant (NDIT), and I sat on the leadership group overseeing its development. I know how it works.

Tom Bartlett
May 127 min read


The one thing about FDP that no break clause can fix
The Canonical Data Model (CDM) is the most valuable asset in the NHS Federated Data Platform. If it falls short, it will be because the CDM was not given the governance, resources, and collaborative development it needs.

Tom Bartlett
Apr 228 min read


What is the Federated Data Platform?
Most of the conversation about FDP is about whether it should exist, or who should supply it. Almost nobody is talking about what it can actually do. The organisations that understand that now will be years ahead of those that don't.

Tom Bartlett
Apr 2012 min read


What I wish MPs had heard before Thursday's Federated Data Platform debate
On Thursday, MPs debated the NHS Federated Data Platform in Westminster Hall. I was struck by how much of the conversation was shaped by incomplete information. That is a gap I would like to help fill.

Tom Bartlett
Apr 1710 min read


FDP: An Insider's Perspective
For the past two years I have watched people who have never logged into the system confidently explain what is wrong with it. I am speaking up because I have watched the public debate about FDP become so detached from the technical reality that it is now actively harming the NHS.

Tom Bartlett
Apr 97 min read
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