All through my IT studies til now in work (roughly 10-15 years) the NHS IT projects seem to a constant source of Case Studies in how not to do it. This on top of a myriad of other government IT projects. A lot of money, mistakes because of something, and very little to apparently show for it.

I can't believe this is just one person's fault, nor one department's, nor even a single government. It's more along the lines of some inherent incapability for IT to be used in government, a mind-set of politicians, or inability to firmly agree to contracts, or just that the rapid pace of IT development can't work with the slower pace of government project rollouts.