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Re:NHS £13bn IT programme to be overhauled - good luck with ... by gaius on Tuesday July 13, 2010 @06:42AM (#1510958)
It's like this: the bureaucrats (who know they have jobs for life and aren't spending their own money) have lots and lots of meetings, mainly to justify their own existance, and eventually write a spec document that is literally 10s of thousands of pages long. They then give this to Accenture or EDS who are about the only companies on the planet who have enough spare staff to even read it.

Then they say, OK, we can do this, and it will cost that much. Any changes however to this spec will cost THAT much.

The bureaucrats say OK and work starts, then they realize that they need to make a whole slew of changes, since they didn't really know what they were doing in these meetings, none of them has ever worked in the NHS, they went straight from Oxbridge to the Civil Service Management Fast Track. But, whatever, it's only taxpayer's money, and Accenture did take us golfing that time.

So it goes. Fix is easy: any civil servant who overspends is dismissed with no severance and no pension. Then you'll see their interests aligned with ours.

Re:NHS £13bn IT programme to be overhauled - good luck with ... by junklight on Tuesday July 13, 2010 @06:46AM (#1510966)
Given I sometimes work on these kinds of projects I could not possibly comment.

To be fair though I think that the "its only taxpayers money" attitude is disappearing. But there are still so many other inefficiencies.

As for your fix. You try firing a civil servant and making it cost less than their salary plus pension.....

Re:NHS £13bn IT programme to be overhauled - good luck with ... by gaius on Tuesday July 13, 2010 @07:12AM (#1510992)
Surely even a civil servant can be fired for gross negligence. I think their union would have a hard sell getting the public behind them striking over someone getting the sack who wasted a billion squids of the NHS budget!
Re:NHS £13bn IT programme to be overhauled - good luck with ... by junklight on Tuesday July 13, 2010 @07:23AM (#1511002)
Ha ha ha ha.

I can see you've never worked in the civil service. Promotion, possibly "sideways", is by far the more likely outcome for gross negligence. Sacking people for gross negligence is hard enough even in the private sector under uk law.

HR in the civil service is sh*t scared of the unions and strikes are an option of last resort. Virtually nothing gets that far.

Again as I've commented above it would require such a sea change both in law and process - all of which the unions would fight every last step of the way - that there are undoubtedly other lines of attack.

Re:NHS £13bn IT programme to be overhauled - good luck with ... by gaius on Tuesday July 13, 2010 @08:28AM (#1511106)
Be interesting to see. The person or people responsible almost certainly would be easy enough to turn the public on (6-figure salary, first-class travel, gold-plated pension etc, etc) and has wasted a billion quid/year at a time when the NHS is strapped for cash. Let the tabloids do the rest. It might encourage the others, at least.