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One of the problems with any aiv system that runs just through SUS data is that providers - Trusts included - are not yet fully reporting/operating through SUS. Not the fault of the Providers since it takes time to get to such a position and few have managed it yet. Not the fault of the PCTs either. In fact no fault to lay anywhere. It's impossible to reach the wonderful state of full - cover high quality data in a leap and without additional resources. Humana's system would always, then, require validation through additional systems and data sets, a logistical nightmare and one not fully taken into the sales pitch the supplier made. Having seen and closely worked 'live' Provider data through the first set of provided Humana aiv rules, at least half conflicted with the national contract and so with guidance. Not a great start and one from which the PCTs must also have suffered. It's always a good idea to match sales - pitch with track record when awarding a contract.