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Re:NHS £13bn IT programme to be overhauled - good luck with ... by arethuza on Tuesday July 13, 2010 @07:40AM (#1511026)
There will be no push back on requirements - nobody is going to say "do you really need that" as they will be reducing the scope of the project and therefore the amount of money made.

Implementations of complex systems in the commercial world (e.g. global ERP systems) often work best when the chance is taken to align the processes of the organization at the same time. I can't see that happening in the context of outsourced government projects - nobody has any incentive to reduce the amount of money spent.

Re:NHS £13bn IT programme to be overhauled - good luck with ... by junklight on Tuesday July 13, 2010 @07:49AM (#1511039)
The current cuts are providing some incentive but I think you are right but there is another part of the picture:

the lack of incentive to cut is one thing.

The ability to see things that can be cut is the other piece of the jigsaw - and I guess this stems from exactly what you are talking about - its not been a necessary skill or a part of the process before.

In order to constrain costs both motive and ability to do so are essential.