I do think that the failure of the cad system is attributed to the technical inadequacies of the

system. Because as we know that this type of service providing system has been started in
1879 in London and as far I think this type of service system was not so much strong before
when the failure took place for the first time since the govt. of London has granted delaing
reaching ambulance for 17min. Because accident occurs and everyone should take
precaution before accident takes place so they should had to be alert for this.The govt. of
London could take some steps to reduce this type of occurrences given below
Individuals -Claims were made in the press that up to 20-30 people may have died as a
result of ambulances arriving to late on the scene. One 14 year old boy died of an asthma
attack after waiting for 45 minutes, whilst an 83 year old man died before the service
reverted back to the old system.
Social- Under pressure from the media and the public, the British Health Secretary, Virginia
Bottomed, announced Public Inquiry into the system headed by South Yorkshire ambulance
chief Don Page. The findings of the inquiry were eventually published in an 80 page report
[6] in February 1993, which immediately became the top news item in the United Kingdom
and gained international attention
Organizations- Ever since the accident, a lot of organizations showed interest in the case to
understand and explore the sequence of events leading up to the incident in an attempt to
determine responsibility and how the project might have benefited from a more formal
specification of the software system. in 1974, the LAS commissioned a computer-aided
dispatch system that remained unused for 13 years because union members refused to
operate it. A replacement system failed acceptance tests in 1990 and a further replacement
system was designed and ordered. On 26 October 1992 the LAS started to use the new
CAD system, known as LASCAD poorly designed and implemented, its introduction led to
significant delays in the assigning of ambulances, with anecdotal reports of 11-hour waits. A
subsequent enquiry found no evidence to support union claims that up to 30 people may
have died as a result of the crash. The crash coincided with hundreds of control room
exceptions messages related to alerts that crews responding to emergencies had not
reported mobile, and the ambulance had not moved 50 meters within 3 minutes of dispatch.
The then-chief executive, John Wily, resigned shortly afterwards. This failure is often cited in
case studies of poor engineering management. The software upgrade in July 2006 led to
repeated system crashes during August. As a result, dispatchers had to go back to old penand-paper methods. On 8 June 2011 the LAS attempted to implement a new CAD system,
called Command Point, costing 18 million and built by Northrop Grumman, an American

aerospace and defense technology company. During its implementation it developed

technical problems and was replaced by a pen-and-paper method for several hours until a
decision was taken to revert to the previous system, CTAK, in the early hours of 9 June It
was later announced that a review of the difficulties experienced would be undertaken. A
second attempt at implementing Command Point was due to take place on 28 March 2012.
The trust was considering terminating its contract with Northrop Grumman if the re-attempt
to go live with the new system failed.