What should we expect when the IT providers are just serfs?
I was involved in a software company that produced community pharmacy software during the NHS electronic prescription, choose and book, and 'Spine' initiative. Pretty much at the same time the Scottish NHS launched their own independent project to implement e-prescribing.
The Scots were willing to pay suppliers to make the required software changes and the project scope was tightly constrained and pragmatic, with a free and open ongoing dialogue between the NHS and the suppliers. They had the whole thing up and running inside a year.
The England project started with a major launch meeting in Leeds. During this meeting several suppliers had the temerity to suggest that the project architecture was both overly complex and utterly under-specified. It was made clear to us that our status was essentially that of serfs. We would not be permitted to meet or even communicate with the architects. Nor would we be paid for the modifications required to our software.
Instead, an army of box-tickers descended upon us, with meaningless project 'milestones', none of which bore any resemblence to reality. The insanely complex design meant that every - already verbose - XML message had to bulked out with pointless OIDs and guaranteed that even modest traffic would saturate the limited bandwidth links available at the time to most pharmacies. And the requirement to authenticate with smartcards and the glacially slow initiation of the required infrastructure to make them available further exacerbated rollout issues.
Interestingly the overall design and architecture documents were also (and probably still are) highly confidential. Despite being publicly funded, the Great Unwashed were not to be allowed access - hence, the technical trade press could only watch from a distance, when some trenchant technical criticism early in the project might - perhaps - have allowed an informed discussion to be held.
So it's no surprise to read that yet another government IT project is mired in delay and experiencing a turnover at senior management level reminiscent of North Korea. Until and unless the medieval, feudal relationship between the project sponsors and those unlucky enough to have to deliver is ever changed, we will always endure shambolic projects; those who control the projects are both ignorant and contemptuous regarding technology, and they epitomise the UK snobbery that ensures that anyone who isn't a humanities-educated public schoolboy has no purpose other than to do the bidding of those who were lucky enough to have inherited that silver spoon in the mouth.
I'll post anonymously because even after all these years the capacity for vindictive and spiteful retributive behaviour from those in power remains undimmed. I no longer work in that vertical, but nonetheless, I've remained silent about this for years because it was made clear that dissent would not be tolerated. Not a healthy environment, but that's the power structure we have. The barons may well have defeated King John at Runnymede, but his successors live on and prosper inside our not-so-Civil Service.