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British Health System Looks at Linux

DanBrusca writes "The Observer is reporting that Britain's biggest employer, the National Health Service, may ditch Microsoft due to mounting licence costs. 'Richard Granger, NHS IT director, has ordered a trial of a Linux-based system from Sun Microsystems as part of a UKP2.3 billion computer modernisation plan. The plan could see Java Desktop software rolled out across the NHS's 1 million staff and 800,000 computers to replace Microsoft's Windows operating system and Office suite of programmes.'"

29 of 477 comments (clear)

  1. when will it stop by prof187 · · Score: 5, Interesting

    Linux is an 'open-source' system for running computers invented by a young Finnish student in 1991 and refined by thousands of programmers working together across the internet.

    how long until they stop seeing it necessary to give linux a definition? i kinda wonder why they feel like 'quoting' open-source in this too, do they think they're lying? =D

    --

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    1. Re:when will it stop by dankdirk77 · · Score: 5, Funny

      Yeah I didn't see

      Windows is a 'closed-source' system for wrecking computers stolen by a young American student in the early 80s and rejected by thousands of programmers working together across the internet.

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  2. Re:Britain's biggest employer is Health? by Anonymous Coward · · Score: 5, Funny

    They will be un-assimilated

  3. How exactly is this a true statement? by sithkhan · · Score: 5, Insightful

    Charles Andrews, Sun Microsystem's public sector head, said licence cost savings would come to tens of millions of pounds directly. 'And we won't force people to upgrade computers and technology on a 2-3 year cycle either. Customers can upgrade when they need to,' he said.

    Not a troll, but Linux is immune from upgrades? This is not the way to convince people to use Linux, by implying that once you install/download Linux, you can walk away without any more upgrades. I wish he had been more clear about the costs involved instead of being so vague.

    --

    is it that bad seein a hot chick again? if i see a hot chick walkin down the hall i dont say "repost"
    1. Re:How exactly is this a true statement? by afidel · · Score: 5, Informative

      I think he is talking about the fact that under MS Liscensing 6 that you MUST upgrade certain components every X months or you lose the very expensive support you were paying for. Basically Sun is saying that they are willing to support an older configuration so long as you are willing to pay the bills. With MS that is not an option. In some instances it may be MUCH cheaper to pay a little more for software support than it is to upgrade all the hardware and pay for all of the technicians to do the upgrades. This isn't necessarily the best path all the time but if budgets are going to be lean for a year or two keeping the old systems on life support can often be a wise choice.

      --
      There are 4 boxes to use in the defense of liberty: soap, ballot, jury, ammo. Use in that order. Starting now.
    2. Re:How exactly is this a true statement? by mcc · · Score: 5, Interesting
      Well, first off, if you look, he isn't saying the Linux means no-forced-upgrades-ever. He's saying that the overall Linux-based system which Sun is selling means no-forced-upgrades-ever. And this is valid as a sales point for Sun, no? I mean, historically, Sun has shown itself to be far more willing to provide support for "obsoleted" Sun software products than many other companies (in particular MS, the obvious target of the "2-3 year cycle" barb) have for their products, no?

      However, for the sake of argument: if you look in general at a Linux-based system like this one versus a Microsoft-based solution, you will indeed find it is true that the Linux-based solution will be far less susceptible to forced upgrades. This is because Microsoft has two covert methods by which it forces upgrades:
      • Associated software. If you go with the MS OS, you're probably going to be going with other MS software as well, for example Word. If you want to do this, you're going to continuously over time upgrade Word, both because MS continuously updates Word, and because you will have to keep upgrading Word in order to work with the new-version Word documents people send you. Over time this means that you will have to eventually upgrade your OS as well in order to run the newest version of Word. That sort of thing. With a Linux solution, you have access to the code and have the ability if you need to to (in an analogous situation) alter the OpenOffice and/or Linux itself so that a newer version of OpenOffice runs on an older version of Linux, or add support for newer document formats to the older OpenOffice you were running.
      • Hardware upgrades. Over time, what if you want to perform partial hardware upgrades on some of your systems, or add new systems, but you wish to keep your network homogenous from a software standpoint? If MS does not choose to continue to add support to its OS for new hardware, and they often do not, then what do you do? You will be unable to work with the new hardware without performing an upgrade. With the Linux solution you have the ability to add support for new hardware yourself if the vendor chooses not to.
      Both of these cases imply on the Linux side changes to the code, which is a sort of upgrade. However the open source model provides the *possibility* of doing minor upgrades to bring over crucial new features, rather than (say) having to upgrade all the way to WinXP from W2K, with all the baggage that implies, just to get one tiny little feature. Moreover they give you a large degree of flexibility in your choice of vendors. If the British health system needs changes to the system they are using, they may go to Sun and purchase the upgrade, OR they can hire an independent contractor of their choice, point them at the code, and say "add these features".

      And note that with everything I have said here, you can replace "Linux" with "Open Source" and "MS" with "Closed Source" and it works just fine.
  4. Row by marshall_j · · Score: 5, Interesting

    The National Health Service, Britain's biggest employer, is considering ditching Microsoft software after a row over mounting licensing costs.
    What's the chance that MS will be offering them a heavily discounted plan after this.
    I might be a little cynical but could it just be the NHS trying to get a better deal from MS?

    1. Re:Row by Soko · · Score: 5, Insightful

      I might be a little cynical but could it just be the NHS trying to get a better deal from MS?

      And why the hell wouldn't they? That's one of the reasons I've gotten into FOSS - I want a big stick with which to beat Microsoft into submission with.

      It's called competition, friend. Every time someone uses FOSS to get deep discounts on Windows and/or Office, it takes just a little more steam out of the Microsoft steamroller. I hate to wish ill on anyone, but this is good for the IT industry, IMHO.

      It also makes a business case for evaluating FOSS, putting it into the minds (if not the hearts) of the PHBs. It will become a more common thing to have Linux installs, which will cause Microsoft's customers to make them conform to standards that everyone can live with.

      All around, there is no downside here. Your cynicism is born from impatience, of wanting FOSS to win NOW. Patience, friend, and keep a clear head - intelligence, not emotion, is what we need to use in order to restore innovation and freedom to the industry.

      Soko

      --
      "Depression is merely anger without enthusiasm." - Anonymous
  5. Re:Britain's biggest employer is Health? by Frymaster · · Score: 5, Insightful
    What happens to the doctors who want to keep using Windows?

    since when do end users get a say in their operating system? the doctors have the exact same amount of choice with the linux system that they had with the windows system: zero.

  6. Re:first china... by October_30th · · Score: 5, Insightful
    with nothing more than a respectable corporate name on the outside of the box.

    Maybe it's because that corporation provides services like an on-site support contract?

    --
    The owls are not what they seem
  7. Finally! Sun has a strategy... by Chordonblue · · Score: 5, Insightful

    And you know what? It looks as though it's working. Getting their desktop act together combined with StarOffice and excellent support may help Sun out of it's doldrums after all.

    I have to admit that I wasn't sold on the 'Java' desktop (whatever), but it seems that they are pushing the right buttons here.

    --
    "...Well, there's egg and bacon; egg sausage and bacon; egg and spam; egg bacon and spam; egg bacon sausage and spam..."
  8. And headlines later this week on slashdot: by Anonymous Coward · · Score: 5, Funny
    • British Health System Then Looks Away From Linux, Embarrased
    • British Health System Asks Linux to Put On Some Clothes
    • Linux Throws On a Spaghetti-Strap Dress and Comments Mockingly on Stodgy Brits
    • British Health System, Now Somewhat Flustered, Looks At Linux Again
    • Linux Says, So Is That A Router In Your Pocket Or Are You Just Glad to See Me
  9. Re:Britain's biggest employer is Health? by tempest303 · · Score: 5, Funny

    Right, unlike our capitalist system of HMOs, and we all know that HMOs are about Choice, Choice, and more Choice, not to mention great service and care for clients. Thank god for Freedom!

  10. Re:Sweet.... by dankdirk77 · · Score: 5, Informative

    Actually, it's hard to see but many US hospitals are slowly moving away from M$. This is done in many cases because of IBM who come in and sell Linux for its openness and auditability; which is in demand in the wake of the HIPAA regulations.

    I agree about the universities, Microsoft is doing the RIAA thing and trying to buy their way into the classrooms for a propaganda war. Sad really that this goes under the radar to most people.

    --


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  11. Java Desktop System name by zymano · · Score: 5, Insightful

    Linux Desktop System would be more accurate. Don't you think ? Don't forget . Sun is payrolling SCO by paying that IP license and has always distrusted linux. Ripping the nametag Linux off the OS software and replacing it with a Java title is something a greedy company would do.

  12. Re:Linux for front end machines? by Anonymous Coward · · Score: 5, Insightful

    You are 100% correct. However the life and death machines have never run Windows or Linux, and almost certainly never will. They are very strictly the domain of Real Time Operating Systems and embedded systems. (QNX comes to mind, but I'm not 100% sure if it's ever been used in medical equipment).

    The rollout will be for generic office type machines, noting lab results, appointments, taking notes, rosters, and that hundred and one other, non-life-and-death uses.

  13. Re:Britain's biggest employer is Health? by martinX · · Score: 5, Interesting

    Of the doctors in my hospital who know what an OS is, Linux gets a mention more often than not as a preferred platform.

    Most people here run basic MS Office apps (and usually run them basically) and connect to legacy databases using terminals. Some people make their own Access databases but the IT people really hate that - you know how it goes: individual makes DB in Access, time passes, undocumented and poorly implemented Access database becomes the lynchpin of a Ward, originator leave, everyone's up shit creek.

    We are migrating from '95 to XP and everyone is getting lots of training. This training could just as easily have been applied to Linus apps.

    --
    When they came for the communists, I said "He's next door. Take him away. Goddam commies."
  14. And just what's wrong with that? by WIAKywbfatw · · Score: 5, Insightful

    You do realize that Britain's health system is socialist don't you? Under socialism, you take what is given to you.

    Oh My God. A health system where you will be treated regardless, where you can get a heart bypass, a kidney transplant, cancer therapy or IVF treatment without someone first asking for your health insurance details or your credit card number and you choose to dismiss it because it's egalitarian?

    I'm sorry, but I think a government has a few basic responsibilities towards its citizens. Making sure that it does its best to keep them all in good health by providing them all with decent medical care regardless of their ability to pay or their social standing is a good thing.

    A sick child that needs a vital operation is a sick child that needs a vital operation. Whether or not her parents can afford to pay for whatever it takes to make her well again should not factor into the equation.

    If this is what you decry as "socialist" then give me a "socialist" society any day of the week.

    --

    "Accept that some days you are the pigeon, and some days you are the statue." - David Brent, Wernham Hogg
    1. Re:And just what's wrong with that? by WIAKywbfatw · · Score: 5, Informative

      Having the government pander the citizens only makes them weak and spineless (like modern day US or almost any "civilized" country).

      If you don't want to pay medical bills, don't get friggin' sick in the first place.


      Wow, what an insightful position. I suppose you can somehow chose whether or not to be born with a congenital illness can you? Or to grow up in an environment where, say, TB is present? Or whether or not to get hit by a drunk driver? Or to contract leukemia? Or cancer? Or to need a working kidney?

      Who knew it was that easy!

      Here's a related story that you'll like.

      In the 1990s, the US Agency for International Aid (USAID), which was set up specifically to help the poor in developing world nations, put the US itself on its list of developing nations, and started providing assitance to housing and poverty projects in Washington DC, Boston, Seattle and elsewhere. In 1994, USAID took a group of Baltimore healthcare workers on a field trip to Kenya in a bid to boost that city's child immunisation rates. Before visiting Kenya, which boasted a near 100 percent record, only 56 percent of Baltimore's infants were effectively immunised. After learning from the Kenyans, Baltimore managed to improve that figure to 96 percent.

      Clearly, Baltimore made a big mistake in seeking to improve the health of its future generations. All it's succeeded in doing is making them "weak and spineless". Yeah, right.

      --

      "Accept that some days you are the pigeon, and some days you are the statue." - David Brent, Wernham Hogg
    2. Re:And just what's wrong with that? by TomV · · Score: 5, Insightful

      You do realize that Britain's health system is socialist don't you? Under socialism, you take what is given to you

      'Realise'? It's one of the things I'm most proud of about my country.

      Of course it's 'socialist'. It's also extrememly popular, and no political party dares to change it other than to tinker with some details. All the parties know full well that to run on a platform of removing the socialist NHS would be electoral suicide. Even Margaret Thatcher was too 'socialist' to dismantle the NHS. The *performance* of the NHS is a political hot potato. The *principle* of an NHS 'free at the point of use' is something every party has to support strongly to stand any chance at all in elections.

  15. Re:Sweet.... by Kierthos · · Score: 5, Insightful

    That's the case at a lot of universities... want to know why? They want to hook you while you're young. They want you to get used to using Windows, so you won't want to break away from it and try something else.

    It's also why Lexis-Nexus does so well. Lexis-Nexus is basically a case law database. It's almost always available for free by law students in the computer labs they have. Once they graduate and get out in the 'real world', they are used to the ease and familiarity of it that they keep using it, at whatever the going rate is (It's measured in dollars per minute).

    It's OS and software crack.

    Kierthos

    --
    Mr. Hu is not a ninja.
  16. Locked in to Windows by charnov · · Score: 5, Informative

    Actually it's not Windows that I am locked into at work, it's Office.

    I have yet to find a way to get past Exchange and Citrix effectively. We looked at a few solutions that cames close, but the administration costs FAR outweighed the licensing savings (although Citrix licenses are astronomical). The other problem is that our document management system (necessary by law due to Sarbanes-Oxley Act) is iManage which only works with office and costs $75K.

    --
    [RIAA] says its concern is artists. That's true, in just the sense that a cattle rancher is concerned about its cattle.
  17. Let's take a moment to think about this by Anonymous Coward · · Score: 5, Insightful

    This is great. Linux has gone from a university project in a country which has never had an empire to moving in on the largest software company in the world, all within a little over ten years. This is awesome achievement. Here on /. we spend a lot of time griping about not being able to cut and paste between KDE and Gnome apps, and complaining about the fact that the latest wireless card doesn't have a driver in Debian Unstable, etc, but let's take a moment to think about how awesome this is, thank those who made it happen (Linus and a cast of millions) and also think about what we are doing as part of it. Writing a new device driver? Helping a friend set it up? Or posting as AC on /.? Whatever it is, we have to give back to it somehow.

  18. Re:Linux for front end machines? by outZider · · Score: 5, Informative

    Wrong.

    Some medical companies, names upon request, use Windows NT as the OS that runs their diagnostic and monitoring devices.

    Many come with a warning to restart the device daily.

    No joke.

    --
    - oZ
    // i am here.
  19. I'm all for this! by robjs · · Score: 5, Informative

    My parents are both currently working in the NHS, my Dad's a consultant at the local hospital, whereas my Mum's a GP.

    The way that they use computers (mainly for work) is fairly simple. My Dad will use some form of presentation building software - for preparing talks at meetings, a web browser - for filling in his "education" points list, and a word processor - for writing letters. That's it - for work both at home and at the hospital where he works. I've found that once the computer has Linux installed on it, he's got no real problems (using GNOME as a Window Manager) doing this tasks. He likes StarOffice Impress, and he's commented that Galeon is faster than Internet Explorer.

    My Mum, is generally the same, she needs a scanner - for preparing practice booklets, or information leaflets, a word processor, an email client, and that's about it. At work, she says, I just "put in my password, click OK, and then click on the program icon". Now, that's not something that'd be hard to implement on Linux. Also, being part of a General Practice, they have to purchase their own computers, and software. She has commented before on the cost of the software, and how it seems to be "paying a lot for not very much".

    My thoughts? Can Linux be implemented as a desktop implementation for users? Definitely. The user does not need to install software, or hardware for that matter - they cannot at the moment, as they're not "administrators" on their own machines.

    Remote management would be easier, IMHO, and there'd be less problems with network floods due to virii that inevitably end up on the Windows systems.

    The Police in our area, West Yorkshire, UK, have already made the switch and are running their systems on Linux. This, to me, is an indicator of how Linux, when properly implemented, can be used on the desktop. If the NHS do come up with a decent solution, I'd imagine they'll see the benefits (probably mainly cost benefits).
    This post is based purely on personal experience

  20. its about time too! (computer virus problems) by Anonymous Coward · · Score: 5, Interesting

    hopefully moving to Linux will help combat the problems various NHS trusts had with recent computer virus attacks - I know of one Trust where for weeks access to online medical records was only possible for a short amount of time every day.. makes one wonder how big the human cost of computer viruses is..

  21. Re:first china... by lga · · Score: 5, Informative

    Please note that the parent post is exagerating - it does not take 6 months to see an NHS doctor, it takes anything from 1 - 7 days depending on where you go.

    Secondly, this project was the idea of the NHS, not the government, and the NHS IT director is negotiating with the government for the funding. See this Register story.

    Steve.

  22. Re:first china... by Anonymous Coward · · Score: 5, Informative

    when it takes 6 months to see a doctor for a sore throat

    What the fuck are you smoking? I can nip down to my doctor and see her this afternoon (spend 10 minutes in the waiting room) and get a prescription there and then... nip out of the door and round to the chemist to pick it up.

    A couple of years ago, my Dad was given a blood test which showed up possible cancer. In one week he saw a specialist and was sent for further tests (again within a week) which revealed early prostate cancer. Within a month he was in hospital having his prostate removed by the best specialty surgeon and team in the country followed by chemotherapy.

    Cost to him: 0. God bless the NHS, and fuck right-wing loonies who think the U.S and its third-world civilisation approach to healthcare works.

  23. Re:first china... by mikechant · · Score: 5, Insightful

    My personal experience of the NHS (which I and my partner have used extensively in the last few years) is that it is improving rapidly - waiting times reducing, lots of new buildings, being called for appointments on time... The media always latch onto the worst cases, so as a result those who haven't used the NHS recently think it is much worse than it actually is. It is in the national interest to have healthcare available to all regardless of means in the same way it was in the national interest years ago to provide a proper sewage system instead of having it rotting in the street. It's all very well to say that each individual should be responsible for their own healthcare but that's not much consolation to those who *have* paid when they are (for example) killed by an epidemic which starts among the 'uncovered' population. Or take the example of a low paid worker with no health cover who currently makes a small contribution to GDP and taxation. A leg injury which needs an operation they can't afford permanantly removes them from the labour market, even though it is actually cheaper for the rest of the population to pay for the operation and get them back to work and contributing...