Arran, I agree, there are many institutional, cultural and staff attitude/acceptance issues to be addressed before technology can be accepted and properly leveraged to add value. I believe many NHS staff still see technology as a potential threat to jobs including, taking away status as technology levels knowledge and reducing status by allowing more to be down further down the chain. However, taking on more responsibility must be reflected with more pay for those taking on more responsibility. Technology also is a threat as it can de-mystify the medical 'knowledge is power' status of some, and also expose the inefficiencies in current processes and departments. However, if technology can leverage more productivity, provide better work satisfaction, standardise medical interventions, deliver quicker medical treatment times, reduce waste in costs and resources, and automation of routine activity this will make staff, and thus the NHS, more effective and efficient. Technology should allow more nurse practitioners/paramedics to do more, and be rewarded for taking on more, to release consultants and surgeons to focus on the more demanding medical work, delivering more front line 'bang for buck', reducing bed blocking, reduce drug use, and getting people home quicker. We must find the win win scenario technology could deliver. However, too big a reliance on technology can be a high risk, as when technology fails and is not repaired quickly, staff can find it hard to fallback to basic non/low-technology working during a failure. Back-up processes, and resilient system design, need to be in place and practiced to reduce the loss of technology risk to delivery the NHS output.

Arran, I agree, there are many institutional, cultural and staff attitude/acceptance issues to be addressed before technology can be accepted and properly leveraged to add value. I believe many NHS staff still see technology as a potential threat to jobs including, taking away status as technology levels knowledge and reducing status by allowing more to be down further down the chain. However, taking on more responsibility must be reflected with more pay for those taking on more responsibility. Technology also is a threat as it can de-mystify the medical 'knowledge is power' status of some, and also expose the inefficiencies in current processes and departments. However, if technology can leverage more productivity, provide better work satisfaction, standardise medical interventions, deliver quicker medical treatment times, reduce waste in costs and resources, and automation of routine activity this will make staff, and thus the NHS, more effective and efficient. Technology should allow more nurse practitioners/paramedics to do more, and be rewarded for taking on more, to release consultants and surgeons to focus on the more demanding medical work, delivering more front line 'bang for buck', reducing bed blocking, reduce drug use, and getting people home quicker. We must find the win win scenario technology could deliver. However, too big a reliance on technology can be a high risk, as when technology fails and is not repaired quickly, staff can find it hard to fallback to basic non/low-technology working during a failure. Back-up processes, and resilient system design, need to be in place and practiced to reduce the loss of technology risk to delivery the NHS output.