This article presents a case study of IT implementation in a hospital
trust which highlights the problems between clinicians and management
in the UK health service. Using the work of Strauss et al., it analyse
s the different meanings attached to the implementation of IT and how
they impact upon the actions of stakeholders. The conclusion is that t
here is a gap between government policy and organizational practice in
the NHS, and that managerialist prescriptions for using IT in that co
ntext are insufficiently sophisticated and unlikely to have the conseq
uences their authors intend.