I don't want to rock the boat, but i served as a network admin with the singapore armed forces before my stint in the NHS. Many of the IT "managers" I encountered didn't now jack**** about IT, and their network implementation was clumsy to say the least. Many of the newer software pieces being developed are ludicrous ascii on screen affairs requiring intensive staff training, considering how much easier self-explanatory graphical user interfaces are for "dummies" to use. The problem stems from the NHSs propensity for employing the cheapest, rather than the most professional. Computer implementation in the NHS is substandard and amateurish, and at times just a ripoff by conmen who don't know the first thing about networks, and claim "security problems" as their stock first line of defence against real progress.