The problem with any nhs or government system is always sales and mission creep.
It starts off with a good brief and before you know it another minister comes in and says “make it do x as well as y”* then it needs rewriting at the last minute and so the cycle goes on and delays hit and then another minister shows up…
*it’s always make it, it’s never can it do x?asking the people building the system is to much - always filtered down to them via a dozen meetings and Chinese whispers
That’s because the answer is “yes but it’ll cost you”