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NHS providers did not perceive any central ‘push’ from the Department of Health or National Institute for Health and Care Excellence to adopt, implement or diffuse new clinical technologies. For the three clinical technologies we investigated, there was a ‘bottom-up’ adoption culture: any trust could choose to adopt any, all or none of them. This is undesirable, as clinically efficacious technologies should be equally available to all patients. We found that Payment by Results could be a major obstacle to adoption. Study also found NHS Technology Adoption Centre (NTAC) was successful in assisting trusts over the generic organisational barriers slowing or preventing the adoption and implementation of clinical technologies. Where there were major obstacles, however, the NTAC process stalled.

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Sue Llewellyn,1,* Rob Procter,2 Gill Harvey,1 Gregory Maniatopoulos,1 Alan Boyd,1 

1 Manchester Business School, University of Manchester, Manchester, UK
2 Manchester eResearch Centre, University of Manchester, Manchester, UK
* Corresponding author ; Email:

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