I always thought the four regions model was a good one but I would have suggested a clinical information system (CIS) with its own database sitting at the centre of each region, covering hospital and community services, interfaced to the other providers you mention. The regional CIS’s could be different or the same - it doesn’t really matter as long as they talk to each other - and I think it would be easier to implement 4 interfaced regions separately vs. a single national system. Then, the national layer over the 4 regions. @Chris.Dever
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That was exactly the plan.
It would have been too hard to align the whole country in one hit.
Once we got to a single CIS over the four regional instances, we could have worked on the regional instances - implementing the best bits of one region across the other regions.
Eventually, you may have been able to consolidate the regional into a single instance. @Chris
Spot on. I’ve seen it done and it works.