Re: How about
To my esteemed peers and contributors HollyHopDrive, AC's Various, Akeane, JP19, MJI, Malagabay, Grease Monkey and others.
Some simple failings of the public sector (including the NHS) which are possibly the most significant contributory factors in this monumental cockup.
No one is accountable
No one is responsible
There are no consequence when things go wrong. (except for the taxpayer that is £120bn of waste per year was the figure reported this week = £4.5k per year per household).
Public Sector are chronically poor at accurately scoping contracts and negotiating fair value.
Once contracts are agreed they cannot help tinkering with the solution ultimately creating a frankenstien solution that cannot be economically or technically implemented.
There is no F in Strategy - that is the NHS has no effing IT Strategy at all.
Therefore NHS Trusts are able to unilterally invest in IT on a sporadic basis depending on the Trusts view of the value of IT and how its supports patient health or not.
Often these decisions are made by crusty "consultant types" straight out of a 1950's movie who appear to weald power beyond their value to patient care.
I personally experienced that on NCRS project which became Connecting for Health which after over selling on the Supplier side, chronically poor NHS sponsorship at the executive level resulting in divisive relationships between NHS trusts and suppliers. To wich the NHS Ivory Tower response was JFDI to both suppliers and trusts.
However there are other factors which need taking into consideration:
Microsoft sold a duff product and we should not pay for failure.
NHS IT and Trust and Central levels should have acted faster inline with product retirement warning which were given in plenty of time.
NHS central IT strategy should be looking over the horizon and defining standards for new systems that Trusts must comply with before budgets are invested.
Bottom line private sector corporate accountability and governance is required in the NHS. NHS top brass want the private sector level remuneration but wringle out of the consequences that come with such high rewards.
We should not standard for this attitude.