Despite all the money NHS received on new tech in the past 15 years almost none of it was invested in staff. 8 people out of 10 working in IT in NHS have very little interest in the industry (if any for that matter). Those that actually know something are rarely promoted to run a team (or God forbid a whole department). Instead of waiting 5-10 years to go higher up they just change the employer. Also the IT reqruitment processes in most of the NHS are truly bizarre. Someone at some point has realized that this whole NHS IT thing is weird at it would be best to outsourcing it. Outsourcing NHS IT, oh boy, if someone was to write a book about it it would take longer than to finish the Game of Thrones.