This is how hospital software is handled (at least in Finland). The one making the decisions is the head doctor in the hospital, because they have the most power.
They know fuck-all about software and fuck-all about the day to day work of the nurses and doctors who need to use the product every day.
And this is pretty much how we ended up giving Epic Systems 774 million for their MUMPS-flavoured piece of shit rebranded as "Apotti". And the project - started in 2015 - isn't even done, nor bug-free yet. The American model of everything being cost first didn't fit the Finnish model of medicine - to the surprise of no-one outside of the organisation.
It was so bad that other cities refused to use it and went with their own solutions instead of using Apotti.
That was our nickname for our worst customer. Some wannabe nerd promoted to CIO, probably to keep him away from patients and the other staff.
His most substantial contribution was divining the precise shade of the highlight color used by our theme.
Our "portal" had labs, scripts, meds, notes, referrals, and on and on. Stuff like lab reports were industry standard (we had domain experts on our team). Dr Corn Flower had opinions on all of it. Not detail too small to argue about. Every pixel mattered.
We eventually got to the point where two team member's full time job was babysitting Dr Corn Flower, while others were permitted to do real work (skunkworks style).
And that was just one hospital. We had dozens of other customers, and 100s of partners.
https://a16z.com/2019/10/03/anduril/
Basically, build first at the VC’s risk and then deliver a finished product to Gov.
So enevitably requirements are tailored to what I want. It seems someone wanted Deloitte, why (and how expensive was the dinner) is another question.
Well how the hell do we have a £40M contract for supply of laptops to schoolkids filled by a noname laptop supplier using the jankiest (really low quality, really poor spec) laptops worth maybe £100 but being charged to the taxpayer at >£300 each.
School IT people are getting them delivered, a lot are broken, and the cost of repair is given as more than the cost of buying _retail_ a better replacement.
I don't know how these people live with themselves, ripping off the taxpayer and lumping in-need schoolkids with poor equipment.
Anyone in that decision chain could spend an hour reading "budget laptop" articles on trusted websites, then look on the website of a high-street supplier for a top price. Boom, saved the taxpayer £20M.
Mind you at least something was delivered, current UK government tenders appear to be typified by non-delivery by completely inexperienced companies for costs well above market.
They already exist. Mysterious why CDC didn't use them. Maybe they are hollowed out after the Trump years. I know I wouldn't have stuck around.
However, if a large outsourcer like Deloitte gets the gig, they should have the right experience and knowledge to work with the customer to determine what they really need/want, and to steer them through the whole process. They should also ensure they use best practices, such as tests. If a company fails here.
I think there is blame to go round on both sides.
Imagine hiring web developers with only HR on the interview loop, no manager or team rounds.