Re: "the Council is expecting to accrue [..] £1 million [..] digital efficiency saving each year"
This is why I usually despair when Local Authority Devolution hits the headlines
And where each local hospital could "do their own thing" - when Trusts & similar changes got rolled out, the DoH effectively lost the ability to co-ordinate national IT provision for hospitals. Which meant that any later attempts to do common system (NHS Spine anyone? Makes HS2 look like a model of probity) failed because each local Trust/Health Board could say "no we want it *this* way" [1].
As one minister (maybe) once said of the NHS - it's not national and, in a lot of cases, it's not a health system, it's a revenue source for private industry [2]'
[1] But we *have to have these fields called this, even if they contain the exact same data as the Trust next door, otherwise our staff will get confused [3]"
[2] Why do we persist in the myth that "private is better". It costs X to deliver a service (say a Nursing Home). Cost for exactly the same provision with private industry = X+15% (because profit).. I've worked on both sides of the fence and haven't noticed any difference in work rate or efficiency between the two. If the cost for private is smaller, it's because they have cut costs somewhere, usually to the detriment of the overall service.
[3] Not if you bother to spend on training they won't. But that means they won't be able to "create value" for the Trust during the day of downtime required.