Showing posts with label David Nicholson. Show all posts
Showing posts with label David Nicholson. Show all posts

Wednesday, 6 February 2013

Stafford Hospital, Unite and Sir David Nicholson

Some readers may remember Sir David Nicholson KCB CBE, Chief Executive of the English National Health Service and Chief Executive of the NHS Commissioning Board:
DMossEsq must confess to a certain horrified admiration for Sir David. Never met him but he comes across as an old bruiser, a survivor, a winner, he's taken on all comers including the Prime Minister and he remains the undefeated commie, the Lonsdale Belt-holder of Whitehall.
He obviously inspires similar awe in Charlotte Jee, stalwart of the Guardian's Government Computing supplement:

Great profile of powerful, plain-spoken & -seemingly- indestructable NHS chief Sir David Nicholson by @patrickjbutler guardian.co.uk/society/2013/f…

Now that the report into the inhuman degradation at Stafford Hospital has been published, she may think differently.

Not so the charming Mary Riddell in the Telegraph:

But not everyone has quite such a strong stomach. Campaigner Julie Bailey has called on Sir David to resign. (And Andy Burnham. And Peter Carter.) Ms Bailey is joined by Rachael Maskell, the health officer of the Unite union, who says:
Sir David Nicholson, who has thrown down the so-called Nicholson challenge of £20bn cuts, is not the person to lead the NHS into the world of patient-focused care ... The words ‘buck’, ‘stopping’ and ‘here’ have a certain resonance.
Is this the end?

----------

Added (22:40):

The boss must go. NHS staff must step up
by Phil Hammond
The Times, 6 February 2013
Sir David Nicholson, the chief executive of the NHS, was in 2005 the head of the West Midlands Strategic Health Authority, the body supposedly responsible for supervising standards at Stafford Hospital. He should step down, a view privately shared by some on the new NHS Commissioning Board and many of the NHS staff I’ve spoken to. But only brave relatives such as Julie Bailey, from Cure the NHS, will join me in public.
Added 7.2.13:
Added: 14.2.13:
Head of NHS ignored warnings that patients were in danger, alleges whistleblower

Sir David Nicholson, chief executive of the NHS, was allegedly warned four years ago that patients were at risk at United Lincolnshire Hospitals Trust by its former chief excecutive Gary Walker ...

Mr Walker last night said he raised concerns with Sir David in 2009 but his warnings were ignored.

He told the Daily Mail: "I want David Nicholson to be held to account. I warned him that this was going to happen. I warned him that Lincolnshire was going to become the next Mid Staffordshire. He didn’t investigate those concerns, and now look what’s happened."

He claimed Sir David was "not interested in patient safety" and said he should resign to end the "culture of fear" he had installed in the NHS ...

managers at the trust had been told their "careers rested on delivering the targets" and so were neglecting the care of patients ...
Added 15.2.13:

On last night's This Week, Michael Portillo was asked by Andrew Neil for his moment of the week and responded as follows:

Stafford Hospital, Unite and Sir David Nicholson

Some readers may remember Sir David Nicholson KCB CBE, Chief Executive of the English National Health Service and Chief Executive of the NHS Commissioning Board:
DMossEsq must confess to a certain horrified admiration for Sir David. Never met him but he comes across as an old bruiser, a survivor, a winner, he's taken on all comers including the Prime Minister and he remains the undefeated commie, the Lonsdale Belt-holder of Whitehall.
He obviously inspires similar awe in Charlotte Jee, stalwart of the Guardian's Government Computing supplement:

Great profile of powerful, plain-spoken & -seemingly- indestructable NHS chief Sir David Nicholson by @patrickjbutler guardian.co.uk/society/2013/f…

Now that the report into the inhuman degradation at Stafford Hospital has been published, she may think differently.

Not so the charming Mary Riddell in the Telegraph:

Friday, 9 November 2012

The Department of Health has been Katie Davisless for some time now. That, and GDS's fantasy strategy

Does Sir David still provide mental health services in England?

12 October 2011, Less for more:
First Katie worked for James and Ian. Then Ian left and so did Katie. When James left as well, Katie stopped working for Ian and went to work for James. Then James left and Sarah took over. There was no room for Katie so she went back to working for Ian. Until Christine left and now Katie finds herself working for David. Or is it the other way around? ...

In 2007 she moved to the Identity & Passport Service (IPS), where she was appointed Executive Director of Strategy. After three years of her strategy, IPS imploded ...

Had Ian Watmore at last managed to assert his authority over the Department of Health? Who knows. But one way and another, Christine Connelly was replaced by Katie Davis ...
Last seen, Katie Davis was the Cabinet Office's representative at the heart of the Department of Health. Her task? To stop money pouring down the NHS's National Programme for IT (NPfIT, £12 billion) and to get Sir David Nicholson under control.

Sir David Nicholson KCB CBE is Chief Executive of the English National Health Service and Chief Executive of the NHS Commissioning Board. "Nicholson joined the NHS on graduation, and then the Communist Party of Great Britain. He remained a member of the party until 1983". That's what it says in his Wikipedia entry and presumably it's there to be quoted.

DMossEsq must confess to a certain horrified admiration for Sir David. Never met him but he comes across as an old bruiser, a survivor, a winner, he's taken on all comers including the Prime Minister and he remains the undefeated commie, the Lonsdale Belt-holder of Whitehall.

How did Katie get on?

Don't be silly. Magic doesn't happen. Her LinkedIn entry reads:
Katie Davis
Retired
September 2012 – Present (3 months)

Director General and Managing Director NHS Informatics
UK Department of Health
Government Agency; 1001-5000 employees; Government Administration industry
July 2011 – August 2012 (1 year 2 months) London, United Kingdom
...
Gone. Like James Hall. And Ian Watmore, "the Vicar's Husband", as he calls himself. And Christine Connelly. All gone.

They're gone and Sir David's still there. And still nobody's dupe.

The government are trying to get their Electoral Registration and Administration Bill through parliament. In the vain hope of achieving computerised identity assurance they want to cross-match DWP's hopeless National Insurance number database with other central government files. HMRC have fallen in with it. And the Department for Education. But you won't see any NHS records being used. You won't see Sir David associating himself with this illegal activity. Or with losers.

And now the Government Digital Service (GDS) have published their Government Digital Strategy. This strategy covers all of central government and GDS are in charge. They say. But what's this we read on p.4?
The strategy does not cover local government services, the NHS, or ways to increase the digital capability of UK citizens. It also does not deal with the expansion of the broadband network which is being led by Department for Culture, Media and Sport (DCMS).
Once again, clean hands, the wily Sir David is leaving the losers to lose all by themselves.

Government Digital Strategy is Volume 2 of Martha Lane Fox's October 2010 Directgov 2010 and beyond: revolution not evolution. Here's a taste of what it said in Volume 1:
Directgov should own the citizen experience of digital public services and be tasked with driving a 'service culture' across government which could, for example, challenge any policy and practice that undermines good service design ...

It seems to me that the time is now to use the Internet to shift the lead in the design of services from the policy and legal teams to the end users ...

Directgov SWAT teams ... should be given a remit to support and challenge departments and agencies ... We must give these SWAT teams the necessary support to challenge any policy and legal barriers which stop services being designed around user needs ...

I recommend that all digital teams in the Cabinet Office - including Digital Delivery, Digital Engagement and Directgov - are brought together under a new CEO for Digital.

This person should have the controls and powers to gain absolute authority over the user experience across all government online services ... and the power to direct all government online spend.

The CEO for Digital should also have the controls and powers to direct set and enforce standards across government departments ...
It's all a bit Machiavellian. Or just plain batty. You wouldn't think Ms Lane Fox's ideas would get through to government policy.

But they have. There they all are in GDS's bossy little Government Digital Strategy, a self-important document that actually struts as you read it:
This strategy sets out how the government will become digital by default ...

All departments will ensure that they have the right levels of digital capability in-house, including specialist skills. Cabinet Office will support improved digital capability across departments ... [not round at the Department of Health, they won't]

Cabinet Office will help departments to recruit suitably skilled individuals. Newly appointed Service Managers will be supported by Cabinet Office through a specialist training programme run by the Government Digital Service. This will include the hands-on process of designing and prototyping a digital service ...

Government digital services are inconsistent and often do not meet the standards that users expect. To ensure that users receive a consistently high-quality digital experience from government, Cabinet Office will develop a service standard for all digital services. No new or redesigned service will go live unless they meet this standard ...

Cabinet Office will lead in the definition and delivery of a new suite of common technology platforms which will underpin the new generation of digital services ...

Cabinet Office will lead in the definition and delivery of a range of common cross-government technology platforms, in consultation with departments to ensure they meet business needs. These will underpin the new generation of digital services. Departments will be expected to use these for new and redesigned services, unless a specific case for exemption is agreed ...

Government Digital Service will:

• offer specialist digital expertise to interpret existing legislation

In a few areas, laws made before the digital age can severely constrain the development of simple, convenient digital services. For example, HMRC have to provide tax coding notifications on paper rather than by electronic channels. Cabinet Office will work with departments to identify these potential barriers and ways to remove them ... [name three Constitutional lawyers working at GDS]

Transactional services and information are the primary focus of our digital by default approach ... [in that case it's a shame that GDS can't provide any identity assurance because without that they can't support any transactions]

The guidance and tools supporting the [digital by default] standard will help service owners to design trusted, cost-effective government services that are embraced by users and meet their needs first time. Government Digital Service will ensure there is a common understanding across government of what outcomes are required to meet the standard. This understanding must be shared by everyone involved in the development and life of a new or redesigned digital service ...

A new Digital Leaders Network was established in early 2012 to drive forward the digital agenda across government. The network is run by the Government Digital Service ...
This document of GDS's is the result of a class of computer-obsessed juveniles talking to themselves and making plans which presuppose powers that they simply don't possess. God knows what a psychiatrist would make of it. Does Sir David still provide mental health services in England?


The Department of Health has been Katie Davisless for some time now. That, and GDS's fantasy strategy

Does Sir David still provide mental health services in England?

12 October 2011, Less for more:
First Katie worked for James and Ian. Then Ian left and so did Katie. When James left as well, Katie stopped working for Ian and went to work for James. Then James left and Sarah took over. There was no room for Katie so she went back to working for Ian. Until Christine left and now Katie finds herself working for David. Or is it the other way around? ...

In 2007 she moved to the Identity & Passport Service (IPS), where she was appointed Executive Director of Strategy. After three years of her strategy, IPS imploded ...

Had Ian Watmore at last managed to assert his authority over the Department of Health? Who knows. But one way and another, Christine Connelly was replaced by Katie Davis ...
Last seen, Katie Davis was the Cabinet Office's representative at the heart of the Department of Health. Her task? To stop money pouring down the NHS's National Programme for IT (NPfIT, £12 billion) and to get Sir David Nicholson under control.

Sir David Nicholson KCB CBE is Chief Executive of the English National Health Service and Chief Executive of the NHS Commissioning Board. "Nicholson joined the NHS on graduation, and then the Communist Party of Great Britain. He remained a member of the party until 1983". That's what it says in his Wikipedia entry and presumably it's there to be quoted.

Monday, 6 August 2012

The whiff of cordite in Whitehall 2

They spend about £700 billion of our money every year, much of it wasted. Whitehall's mandarins exercise the prerogatives previously reserved to Stuart kings. Their harlot power is jealously guarded, while all responsibility is taken by more or less hapless ministers. Challenges come and go. They're usually seen off, the politicians give up and we the public carry on paying.

You may as well know that the whiff is back, there is once again cordite in Whitehall. Francis Maude thinks that if ministers are to take responsibility, then they really ought to have some say in which officials manage the political initiatives and the associated budgets. The Guardian has the story – Ministers to be given say in civil service appraisals. So does Public Servant magazine – Ministers are to manage the Civil Service:
Maude's preference now is that ministers be involved in Civil Service appraisals and be given powers to hire and fire staff. And expert advice on how to ensure maximum efficiency should be sought from beyond Britain's shores if necessary.
Francis Maude v. the massed ranks of the senior civil service?

Good luck, Mr Maude.

The whiff of cordite in Whitehall 2

They spend about £700 billion of our money every year, much of it wasted. Whitehall's mandarins exercise the prerogatives previously reserved to Stuart kings. Their harlot power is jealously guarded, while all responsibility is taken by more or less hapless ministers. Challenges come and go. They're usually seen off, the politicians give up and we the public carry on paying.

You may as well know that the whiff is back, there is once again cordite in Whitehall. Francis Maude thinks that if ministers are to take responsibility, then they really ought to have some say in which officials manage the political initiatives and the associated budgets. The Guardian has the story – Ministers to be given say in civil service appraisals. So does Public Servant magazine – Ministers are to manage the Civil Service:
Maude's preference now is that ministers be involved in Civil Service appraisals and be given powers to hire and fire staff. And expert advice on how to ensure maximum efficiency should be sought from beyond Britain's shores if necessary.
Francis Maude v. the massed ranks of the senior civil service?

Good luck, Mr Maude.

Friday, 29 June 2012

Francis Maude, the UK government's major IT suppliers and the empty chair

Hat tip: Tony Collins, Poor IT suppliers to face ban from contracts?
The Cabinet Office minister Francis Maude is due to meet representatives of suppliers today [28 June 2012], including Accenture[,] BT, Capgemini, Capita, HP, IBM, Interserve, Logica, Serco, and Steria.

They will be warned that suppliers with poor performance may find it more difficult to secure new work with the Government ...
The suggestion is that up to now "suppliers with poor performance" haven't found it hard as a result to "secure new work with the government".

Apart from Atos, DMossEsq and Fujitsu, who's missing from that list?

CSC. Computer Sciences Corporation, share price today $23.76 compared with $37.96 a year ago, nearly 40% off, DMossEsq is not licensed to give investment advice and is not giving investment advice.

Last heard in these parts, CSC were picking up a fortune from the UK taxpayer for collecting useless biometrics on UK visa applicants, upgrading the UK passport system expensively and unnecessarily and failing to deploy the UK National Health Service National Programme for IT scheme, NPfIT. That's the good news.

We also heard that they were facing a class action brought by the Ontario Teachers' Pension Plan, they'd been docked $250 million by the US Armed Services Board and they had failed to install their Lorenzo software at Pennine Care NHS Health Trust.

Some of that news is six months old. How are they doing now?

Another hat tip: Mark Ballard, Soldiers nail data for agile offensive on $6bn cock-up:
Supplier Computer Sciences Corporation finished the US Army's 1999 Logistics Modernization Programme [LMP] last year, six years behind schedule [good job the US wasn't fighting any wars at the time].

LMP went on the record as being done on budget after the Army accepted an offer on a $2bn compensation claim it had against the supplier. After seven years of contract arbitration in which CSC filed $861m of counter claims against the Army, CSC settled the matter with a $269m payment last year. The settlement also cleared another $1.2bn of outstanding contract complaints, said the Army spokeswoman.
Six years late and $269 million down the tubes seems a fair summary.

And that's not all, as Mr Ballard tells us in CSC finance director exits as fraud probe hits UK. Their 10-K, filed with the SEC, makes absorbing reading:
On May 2, 2011, the Audit Committee commenced its investigation into certain accounting errors and irregularities, primarily in our Nordic region and in our operations in Australia. This investigation is also reviewing certain aspects of our accounting practices within our Americas Outsourcing operation and certain of our contracts that involve the percentage of completion accounting method, including our contract with the U.K. National Health Service (NHS). As a result of this investigation, we have recorded certain out of period adjustments to our historical financial statements and taken certain remedial measures. The SEC is conducting its own investigation into the foregoing areas as well as certain related disclosure matters ...

As noted above, during fiscal 2011, the Company commenced an investigation into accounting irregularities in the Nordic Region. Based upon the Company's investigation, review of the underlying documentation for certain transactions and balances, review of contract documentation and discussions with Nordic personnel, the Company attributes the majority of the $92 million pre-tax adjustments recorded in the Nordic region in fiscal 2011 to accounting irregularities arising from suspected intentional misconduct by certain former employees in our Danish subsidiaries. The Company attributes the $13 million in pre-tax adjustments recorded in the Nordic region in fiscal 2012 to miscellaneous errors and not to any accounting irregularities or intentional misconduct other than a $1 million operating lease adjustment noted in the first quarter of fiscal 2012 which was a refinement of an error previously corrected and reported in fiscal 2011 ...

In the course of the Australia investigation initiated in fiscal 2012, accounting errors and irregularities have been identified. As a result, certain personnel in Australia have been reprimanded, suspended, terminated and/or resigned. Based upon the information developed to date, and the Company’s assessment of the same, the Company has identified and recorded during fiscal 2012, $23 million of adjustments reducing income from continuing operations before taxes relating to its operations in Australia. Such adjustments have been categorized as either intentional accounting irregularities (“intentional irregularities”) or other accounting errors (“Other Errors”). Other accounting errors include both unintentional errors and errors for which the categorization is unclear ...

Between June 3, 2011, and July 21, 2011, four putative class action complaints were filed in the United States District Court for the Eastern District of Virginia, entitled City of Roseville Employee's Retirement System v. Computer Sciences Corporation, et al. (No. 1:11-cv-00610-TSE-IDD), Murphy v. Computer Sciences Corporation, et al. (No. 1:11-cv-00636-TSE-IDD), Kramer v. Computer Sciences Corporation, et al. (No. 1:11-cv-00751-TSE-IDD) and Goldman v. Computer Sciences Corporation, et al. (No. 1:11-cv-777-TSE-IDD). On August 29, 2011, the four actions were consolidated as In re Computer Sciences Corporation Securities Litigation (No. 1:11-cv-610-TSE-IDD) and Ontario Teachers' Pension Plan Board was appointed lead plaintiff ...

On September 13, 2011, a shareholder derivative action entitled Che Wu Hung v. Michael W. Laphen, et al. (CL 20110013376) was filed in Circuit Court of Fairfax County, Virginia, against Michael W. Laphen, Michael J. Mancuso, the members of the Audit Committee and the Company as a nominal defendant asserting claims for breach of fiduciary duty and contribution and indemnification relating to alleged failure by the defendants to disclose accounting and financial irregularities in the MSS segment, primarily in the Nordic region, and the Company's performance under the NHS agreement and alleged failure to maintain effective internal controls ...

CSC was informally advised by the Danish Justice Department on February 3, 2012 that the project known as POLSAG, a document and records management modernization program for the Danish police, will be abandoned, which affects CSC's contract with the Justice Department ...

In addition to the matters noted above, the Company is currently party to a number of disputes which involve or may involve litigation ...
Bit mean of Mr Maude not to invite CSC along for tea and biscuits with the other suppliers.

Francis Maude, the UK government's major IT suppliers and the empty chair

Hat tip: Tony Collins, Poor IT suppliers to face ban from contracts?
The Cabinet Office minister Francis Maude is due to meet representatives of suppliers today [28 June 2012], including Accenture[,] BT, Capgemini, Capita, HP, IBM, Interserve, Logica, Serco, and Steria.

They will be warned that suppliers with poor performance may find it more difficult to secure new work with the Government ...
The suggestion is that up to now "suppliers with poor performance" haven't found it hard as a result to "secure new work with the government".

Apart from Atos, DMossEsq and Fujitsu, who's missing from that list?

Friday, 8 June 2012

Dead fish Department of Health has lost sight of the "public" in "public service" – Sir David Nicholson KCB CBE

Key Stage 3 is that phase in the education of our children which takes place in England between the ages of 11 and 14. The syllabus is demanding and includes a course on management consultancy. No mere ivory tower training divorced from the real world, students are expected to give policy advice to Whitehall departments. Advice on procurement, for example, much needed by the Department of Health.

All procurement should be centralised, said the team from Stretchford Middle School, so that stakeholders in the NHS all pay the same price and, with the economies of scale available to the Department, currently spending about £120 billion of our money every year, that price should be a minimum, offering the best value for public money.

Similar advice was given to the Civil Service by Sir Philip Green, of course, on one of his rare visits from Monaco. Philip Green's efficiency purge recommends more centralisation, ran the headline in the Guardian, before going on to spell it out:
The government has little control over the money its own civil servants spend and is wasting billions every year by failing to negotiate the best contracts for phones, IT equipment and rent, according to the Topshop boss Sir Philip Green, who was brought in by ministers to assess efficiency in Whitehall ...

The report identifies massive variation in procurement with one department paying £73 for a box of paper and another paying £8. The most paid for printer cartridges is £398 and the least is £86 ...
As all management consultants know, you hand in your report full of tightly argued recommendations, you go back to Monaco (or Stretchford) and what does the stupid client do?

Something stupid.

Like ignore your recommendations.

Generally true, that is not the case at the NHS. Not by a long chalk. Sir David Nicholson KCB CBE, Chief Executive, runs a tight ship. The National Programme for IT (NPfIT) divides England into five regions, the contracts are held by just two organisations, (CSC-3 and BT-2), and they all come together at just one central point, CfH, Connecting for Health, as recommended.

And now, a cautionary tale.

Some poor deluded soul at the Whittington Health NHS Trust went out on his or her own and bought an electronic patient records system (EPR). They could have got it from BT, who have the NPfIT contracts for London and for the South of England. But, no, poor benighted fools that they are, lambs to the slaughter, they set out to do the procurement themselves.

BT's EPR is an American package called Cerner Millennium. In London, Cerner Millennium costs £31 million on average. And in the South of England, health trusts pay an average of £36 million for the same thing. Almost the same price. Only £5 million different.

And, wantonly ignoring all the added value of Whitehall's magisterial assistance acting energetically exclusively in the public interest, what did the naĂŻve neophytes of Whittington Health pay?

£7.1 million.

----------

Hat tip: as so often, Tony Collins.

What the students learn at Key Stage 4 is that all the normal rules of logic, arithmetic, business and economics that govern rational open markets break down in Whitehall.

These rules melt in the heat of the close personal bonds between the Department and its suppliers. The Department of Health's friendship with BT and CSC is not a unique example. We have already seen a similar  case of producer capture at the UK Border Agency where Rob Whiteman, the Chief Executive, would rather not mention Atos's name in connection with the immigration computer system breaking down for a month.

These relationships are intense. Too intense to accommodate any other loyalties. Other loyalties such as public service.

Dead fish Department of Health has lost sight of the "public" in "public service" – Sir David Nicholson KCB CBE

Key Stage 3 is that phase in the education of our children which takes place in England between the ages of 11 and 14. The syllabus is demanding and includes a course on management consultancy. No mere ivory tower training divorced from the real world, students are expected to give policy advice to Whitehall departments. Advice on procurement, for example, much needed by the Department of Health.

Thursday, 15 December 2011

ChristmasList: Misfeasance in public office

It was Christmas day in the harem,
The eunuchs were standing round [that's us, the public, we're the eunuchs],
And hundreds of beautiful women [or, at least, £710 billion of our money]
Were stretched out on the ground,
When in strode the bold bad sultan [or mandarin, Sir Gus O'Donnell]
And stared at his marble halls [or Whitehall]:
"What do you want for Christmas, boys?"
And the eunuchs answered tidings of comfort and joy
[viz. charges of misfeasance in public office
being brought against various satraps
e.g. Sir David Nicholson, Chief Executive of the NHS]

ChristmasList: Misfeasance in public office

It was Christmas day in the harem,
The eunuchs were standing round [that's us, the public, we're the eunuchs],
And hundreds of beautiful women [or, at least, £710 billion of our money]
Were stretched out on the ground,
When in strode the bold bad sultan [or mandarin, Sir Gus O'Donnell]
And stared at his marble halls [or Whitehall]:
"What do you want for Christmas, boys?"
And the eunuchs answered tidings of comfort and joy
[viz. charges of misfeasance in public office
being brought against various satraps
e.g. Sir David Nicholson, Chief Executive of the NHS]

Wednesday, 12 October 2011

Less for more

First Katie worked for James and Ian. Then Ian left and so did Katie. When James left as well, Katie stopped working for Ian and went to work for James. Then James left and Sarah took over. There was no room for Katie so she went back to working for Ian. Until Christine left and now Katie finds herself working for David. Or is it the other way around? Will Ian's will prevail? Just how much are we paying CSC? And for what? How did the Daily Mail get themselves suckered? And where does Andrew come into it?

All of that and more – including Sir Anthony Blunt – in the latest edition of the long-running programme, Whitehall in control ...

Like a lot of people in Whitehall, Katie Davis used to be a partner at Accenture.

She left in 2005 to join the Cabinet Office, home also to Ian Watmore at the time. Mr Watmore, of course, is a former managing director of Accenture.

In 2007 she moved to the Identity & Passport Service (IPS), where she was appointed Executive Director of Strategy. After three years of her strategy, IPS imploded. They left their offices at Globe House and retreated to the Home Office mother ship in Marsham St. The Chief Executive, James Hall, previously a managing partner of Accenture, retired and was replaced by Sarah Rapson, never worked for Accenture, ex-American Express, MBA from the London Business School.

Five directors of the IPS board were cleared out at the same time and so it came to pass that Katie found herself back in the Cabinet Office with the title Executive Director, Operational Excellence, working for Ian Watmore's Efficiency & Reform Group (ERG, previously OGC). The quiet life of operational excellence there beckoned but was soon rudely interrupted when Christine left.

Christine Connelly was the Chief Information Officer at the Department of Health. She was for years the most articulate and impassioned supporter of NPfIT, the NHS's £11 billion+ National Programme for IT. In June 2011, she resigned.

There had been a few problems.

By this stage in the career of NPfIT, there were only two contractors left. Accenture had pulled out with losses of over $450 million. Fujitsu also had pulled out, and are still thinking of suing HMG for £700 million. Leaving only BT and CSC.

CSC – Computer Sciences Corporation – are an American software house. They took over Accenture's NPfIT contracts. As part of the deal, they inherited iSoft, the software house that developed Lorenzo, the package on which NPfIT depends.

iSoft got into financial problems. The market took a dim view of their habit of booking profits based on nothing more than vague promises that someone might at some stage in the future possibly buy a copy of Lorenzo or not. CSC had to take them over to keep them afloat.

Lorenzo continued to perform badly, causing CSC to miss certain important milestones in their delivery plan for NPfIT. What with that, and a minor misunderstanding in the US with the Armed Services Board which cost them $250 million, their shareholders were getting edgy and CSC asked Christine Connelly to sign a contract guaranteeing them £3 billion. They also offered a discount. How about we take 25% off the price, CSC asked, but only deliver 50% of the services?

Less for more. An attractive proposition as anyone would agree.

At least, Christine Connelly thought it was attractive and she was minded to sign. Not so fast, said Richard Bacon MP, a hero. Not so fast, said Rt Hon Margaret Hodge MBE MP, a hero. Not so fast, said, Ian Watmore, Chief Operating Officer of ERG, whose motto, devised by Lord Brown of Madingley, Chairman of ERG and previously Chairman of BP and the Gulf of Mexico, is "more for less".

Even David Cameron asked Ms Connelly to stay her hand. For months, it looked as though, with the support of her boss, Sir David Nicholson, Chief Executive of the NHS, she was going to tell the lot of them to take a running jump. A power which, it may come as a surprise to those who believe we live in a polity where politicians control Whitehall, she had. Then she was gone.

Had Ian Watmore at last managed to assert his authority over the Department of Health? Who knows. But one way and another, Christine Connelly was replaced by Katie Davis.

That was back in June. On 22 September 2011, the Daily Mail carried this front page headline:
£12bn NHS computer system is scrapped... and it's all YOUR money that Labour poured down the drain
Their heart was in the right place but the story was false. The Department of Health agree that NPfIT has a few problems (mutt) but according to Sir David Nicholson, to paraphrase, we all owe our very existence to the genius of NPfIT (jeff), which will go on. And on. Until we've spent all the money we're entitled to. And then we may need some more. Firm up on that one later.

This is Sir Gus O'Donnell's Whitehall. He has been head of the home civil service since 2005. He leaves at the end of the year. We shall miss his deft organisational powers. Public administration in the UK may never be the same again. With any luck. GOD retires from top job – to be replaced by a new trinity, as they say in yesterday's Times newspaper.

Talking of which, when the Times look at NPfIT, they say:
The history of the NHS computer system is one of criminal incompetence and irresponsibility
Whereas when Sir David looks at it, he says:
We spent about 20% of that resource [the £11.4bn projected total spend on the NPfIT] on the acute sector. The other 80% is providing services that literally mean life and death to patients today, and have done for the last period.

So the Spine, and all those things, provides really, really important services for our patients. If you are going to talk about the totality of the [NPfIT] system … you have to accept that 80% of that programme has been delivered.
Sir Anthony Blunt was the world expert on Poussin. Standing in front of an obvious fake once, he declared it to be authentic. Why? Perhaps Sir David Nicholson could tell us.

The quotation immediately above is due to Tony Collins, the award-winning investigative journalist, one of the few people on the planet who know what's going on NPfIT-wise, and a hero. Andrew Lansley? Admittedly Secretary of State for Health but, when it comes right down to it, just a politician. Not sure. Katie Davis?  At least she's sort of a mandarin and a former Executive Director of Operational Excellence, but even so – not sure.

The sun never sets on Sir David's empire. Now a group of American investors are suing CSC in a class action. They clearly don't think Lorenzo is kosher either, any more than Richard Bacon, Margaret Hodge et al. Somehow, mysteriously, the shareholders have got hold of internal CSC reports going back to May 2008 saying that Lorenzo could never meet the NHS's requirements and that the package is on a "death march".

Not the sort of march you want a health service to be on. But then what has any of this £11 billion of public money got to do with health?

Less for more

First Katie worked for James and Ian. Then Ian left and so did Katie. When James left as well, Katie stopped working for Ian and went to work for James. Then James left and Sarah took over. There was no room for Katie so she went back to working for Ian. Until Christine left and now Katie finds herself working for David. Or is it the other way around? Will Ian's will prevail? Just how much are we paying CSC? And for what? How did the Daily Mail get themselves suckered? And where does Andrew come into it?

All of that and more – including Sir Anthony Blunt – in the latest edition of the long-running programme, Whitehall in control ...