Despite the good progress...
"Despite the good progress on procurement, the current lack of engagement with the hearts and minds of the staff within the NHS at all levels, the lack of a coherent benefits realisation strategy and the absence of clarity regarding the organisational structure that will address these problems means that the overall status of the National Programme is red."
So they'd managed to spend lots of money, but the customer thinks it's a waste of time, the project management haven't actually got anything to contradict that view, and they couldn't organise a piss-up in a brewery. It's pretty obvious why the status is red, but what's that word "Despite" doing at the front. Surely the fact that they'd spent all this cash *before* having a clue is just one more reason why the project management should be taken out to the pay-and-display patients' carpark and probed with Victorian surgical instruments.
It sounds to me like even the review body are a twunch of bats.