Much of the PAC's report is a record of the detailed evidence they gathered (including a letter from supplier Fujitsu damning their employee Andrew Rollerson, who shot his mouth off about the whole disaster earlier in the year- see here and here).
But PAC's stark conclusions (pages 5-7) could stand for every Big Government project since the dawn of creation:
- Meaningless delivery timetable- "The delivery of the patient clinical record, which is central to obtaining the benefits of the programme, is already two years behind schedule and no firm implementation dates exist"
- Shambolic cost control- "The Department has not sought to maintain a detailed record of overall expenditure on the Programme and estimates of its total cost have ranged from £6.2 billion up to £20 billion"
- No cost benefit appraisal- "The Department’s investment appraisal of the Programme did not seek to demonstrate that its financial benefits outweighed its cost"
- No delivery capability- "There is a shortage of appropriate and skilled capacity to deliver the systems"
- No user involvement- "The Department has failed to carry an important body of clinical opinion with it"
- Driven by technology hype not practical business needs- "The Programme has focused too narrowly on the delivery of the IT systems, at the expense of proper consideration of how best to use IT within a broader process of business change"
- Muddled responsibilities- "The Department should clarify responsibility and accountability for the local implementation"
- Failure- "At the present rate of progress it is unlikely that significant clinical benefits will be delivered by the end of the contract period"
*PS Tess was on BBC R4 Today this morning, wittering on again about the 2012 "budget" and how the costs have only soared because they found all that land contamination they couldn't possibly have known about previously, and how that huge Contingency Reserve won't be needed anyway so it doesn't count as cost (see the vid blog here). She sounded like a dame lashed to the wheel of some huge out-of-control juggernaut thundering towards the parapet of certain dismissal this summer. What a shame we can't all bale out at the same time.