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  • Whilst the "pillars" of e health have been developed - each area can no longer be looked at in isolation
  • Diagram captures only some of the dynamics of e health - serves to illustrate to complexity of the health care system
  • E health is a large scale multi disciplined programme that requires integration of diverse systems.
  • "Whatever affects one directly, affects all indirectly" - Martin Luther King.
  • Systems are usually linked directly or indirectly which demands a logistical and technical interface for Command control and communication. - (BAE expertise!)
  • Heart of systems integration lies in the ability to model not just the individual components which make up a capability, but also how all those components operate in unison - e.g….reducing bed space in UCH may mean increase in transport/ community care?
  • Creating and moving one of the largest systems of any government will be achieved efficiently through strategic partnerships.
  • Must be human centred and requirement driven