Re: Current government + IT = not important / ignorant
I guess you're very right. Every company I've worked in apart from my current role (web tech firm) always saw IT has the bitter end of budget spending. Even a private school I once worked at didn't want to invest in a fibre line (to sort out the ADSL/SHDSL mess we had to support 250 students on site - 14Mbps shared over those students!?) to drastically improve internet access. Yes, the one time cost of install from BT was ridiculous, but we had no choice being in the middle of a field. It was the attitude of the management (even my boss being very good at standing a good case for expensive kit) couldn't convince them of the benefits of such a line to add extra services (to both students and teachers).
NHS need to learn the arts of the open-source community (tools such as Chef/Chocolatey etc) fast if they need to catch up. You can do things on a budget, but need the skills. If NHS don't want to pay for the skills/expertise, then they're in a dead-end anyway to get out of the hole they're in.