As someone who worked in not one but two areas for the NHS IT national project (NE Cluster) I guess I could have a little input.
Pile of rubbish.
As usual with any large scale IT project it was a case of Chinese Whisper syndrome through middle and top-end management along with plain and simple gross incompetence.
The work that was going on at the 'real-world' level e.g. consultations, use-case developments, prototyping, end-user trials and so on was really good. I mean that. Some of the technologies and solution visions that I was privy to were increadibly useful. For example, paperless, content managed Primary Care surgeries and fully-integrated and networked Emergency Response vehicles were looking great when we rolled off. The feedback from the GP's and GP's assistants (as well as paramedics) was fantastic. The individual point-solutions worked and the mood was promising. The key thing here is that the mood was promising not just among the big-wigs but among the people that would actually be using the systems.
HOWEVER!!!!
As always the process in place to knit all of these point-solutions and strategies together just wasn't there. Now of course I dont know why as I wasnt involved in the larger picture as Im just a lowly Java Developer.
It came down to the fact that the planning just wasnt there on a larger scale. I remember that we pushed like hell to get an implementation in place only to be told that it was on hold pending not one but three other projects, most of which were dependant on other projects. Typical scenario.
Personally, I didnt think it would necessarily fail but the idea of splitting the UK up into what were termed 'Clusters' was never a logical idea. You have 5 or so companies, each conjuring up their own vision for their area. Bad news.
On the positive side, I moved away from the monolithic company to a considerably smaller one in Guildford. Im pleased to say that every single project, although not comparable in scale, has run more or less to time and budget and every single client can be referenced as a success.
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