England’s Electronic Prescription Service: Infrastructure in an Institutional Setting

Hibberd, R, Cornford, T, Lichtner, V orcid.org/0000-0003-3956-3743 et al. (2 more authors) (2017) England’s Electronic Prescription Service: Infrastructure in an Institutional Setting. In: Aanestad, M, Grisot, M, Hanseth, O and Vassilakopoulou, P, (eds.) Information Infrastructures within European Health Care: Working with the Installed Base. Health Informatics . Springer , Cham (ZG), Switzerland , pp. 109-128. ISBN 9783319510187

Abstract

We describe the development of the Electronic Prescription Service (EPS), the solution for the electronic transmission of prescriptions adopted by the English NHS for primary care. The chapter is based on both an analysis of data collected as part of a nationally commissioned evaluation of EPS, and on reports of contemporary developments in the service. Drawing on the notion of an installed infrastructural base, we illustrate how EPS has been assembled within a rich institutional and organizational context including causal pasts, contemporary practices and policy visions. This process of assembly is traced using three perspectives; as the realization and negotiation of constraints found in the wider NHS context, as a response to inertia arising from limited resources and weak incentive structures, and as a purposive fidelity to the existing institutional cultures of the NHS. The chapter concludes by reflecting on the significance of this analysis for notions of an installed base.

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Item Type:	Book Section
Authors/Creators:	Hibberd, R Cornford, T Lichtner, V https://orcid.org/0000-0003-3956-3743 Venters, W Barber, N
Editors:	Aanestad, M Grisot, M Hanseth, O Vassilakopoulou, P
Copyright, Publisher and Additional Information:	© The Author(s), 2017. This chapter is distributed under the terms of the Creative Commons Attribution-NonCommercial 2.5 International License (http://creativecommons.org/licenses/by-nc/2.5/), which permits any noncommercial use, duplication, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
Keywords:	Medical
Dates:	Published: 12 March 2017
Institution:	The University of Leeds
Academic Units:	The University of Leeds > Faculty of Business (Leeds) > Management Division (LUBS) (Leeds) > Logistics, Info, Ops and Networks (LION) (LUBS)
Depositing User:	Symplectic Publications
Date Deposited:	19 May 2017 12:23
Last Modified:	19 May 2017 12:23
Status:	Published
Publisher:	Springer
Series Name:	Health Informatics
Identification Number:	10.1007/978-3-319-51020-0_8
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:116641

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England’s Electronic Prescription Service: Infrastructure in an Institutional Setting

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