Having worked as an IT supplier can I just point out just how bad NHS IT procurement is and even worse it's implementation. Many companies don't actually see the NHS as people they want to do business with. They're reallllyyy crap payers, they don't stick to agreements , they don't bother to fund implentation projects properly and to say that the products spec can change would be something of an understatement. And the waste.............. Oh don't get me started on that one.