Comment by Silhouette

TBF the government and its agencies - including the NHS - are doing themselves no favours with how they're managing IT at the moment.

There are persistent and valid claims that the NHS is inefficient in its use of technology. It wastes lots of money, wastes clinicians' time, and sometimes fails to get accurate information to the people who need it in time to be used.

But there is a best being the enemy of the good problem here. The amount of regulation involved in supplying any kind of tech product or IT service to these public sector organisations is becoming prohibitive. Parts of the industry that have been providing these products and services into the NHS are being crippled in productivity or even literally shutting down whole supply chains because it's too onerous to comply with all the red tape. It's not just individuals but the small businesses that employ or engage them and then the medium-sized business that use the small ones.

If you're working with big consultancies with their own legal and compliance teams then sure you can write hundreds of pages of contracts and require compliance with several external standards about managing personal data and IT security and whatever else. But that regulation flows downhill to the smaller suppliers who don't have resources already available to deal with those issues and at some point it becomes overwhelming and everyone has had enough and decides to become a gardener. Now your only options for supply are big consultancies engaging big suppliers who charge big prices and provide big company levels of service and responsiveness (in the most pejorative sense of these terms).

Surely this isn't the best strategy for a system that desperately needs to be more efficient and sometimes more innovative. There is a broad spectrum between "adopt a one-off product with no support from a single well-meaning individual" and "everything requires so much red tape that only the places charging those £x000-per-day consulting rates we're always mocking are actually allowed to provide it".