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Re:NHS £13bn IT programme to be overhauled - good luck with ... by mseebach on Tuesday July 13, 2010 @06:05AM (#1510897)
I don't have any particular knowledge, but this sentence from the article:

Over a billion pounds was spent on the programme last year alone

seems to indicate that it's an accumulated number.

Also, I think it's a safe guess that a significant slice of that money is recurring license fees for many, many instances of very enterprisey software.

Re:NHS £13bn IT programme to be overhauled - good luck with ... by weego on Tuesday July 13, 2010 @06:15AM (#1510911)
You also have to take into account that the delivery of said systems will be undertaken by a consortium. There will be someone like accenture taking a huge slice for general management/PM and this is where the accountability comes in.