"the certainty* of a new, shiny and probably very useful development"
... Which will be delivered by one or more of the usual suspects, very late, probably not before the perceived needs for it have expired, waaay over budget, the project reset at least 7 times, and incredibly tarnished and scratched.
Sadly, that's the certainty.
How many politicians dead in A & E will it take before the remaining few bite the bullet and REQUIRE that all NHS software moves to FOSS?
Triggering that and making it available worldwide would probably be worth several times our foreign aid budget.
NHS IT a (not the) clearing house for a vast international effort?