That contract value is ridiculous - how many full time staff do they have on this project and what rates are they charging? How can some say ‘operational data collection’ is worth a third of a billion to NHS over the alternatives of using a third of a billion on patient healthcare and actual medical research? This needs an investigation around how this contract was ever approved.
https://www.england.nhs.uk/wp-content/uploads/2020/02/removi...
nhs is famous dumb and has spent years trying to stop using fax machine. £330 million is nothing over a few years.. NHS budget for 2024/25 is circa £242 billion.
the entire annual intake from capital gains tax is £20 million or so
Thus only the wealthiest are outside these boundaries, and they often will not liquidate holdings until their death to pay inhertiance tax, or in trusts which will liqudiate over decades as they can pay inheritance tax over a very long period.
This is not to mention the large amounts of off-shore holdings.
(source: a UK voter)
I checked, and you can of course donate to Led By Donkeys either as a one-off or monthly via their web page https://donate.ledbydonkeys.org/ but they don't have a way to contribute to specific campaigns.
Thanks for mentioning them though.
The fact I can't even see a GP I'm not registered with (not even an option to pay extra) is ridiculous. You have absolutely no control over your health at all.
With private, you get exactly what you want, whenever you want it.
https://www.contractsfinder.service.gov.uk/Notice/0f8a65b5-2...
AND they're putting private information at risk by working with Panantir
this isn't a "delivery" product, it should be an institutional pillar of the system
It was incredibly expensive to run East Berlin as a panopticon state, with a large fraction of the population on the payroll as informers to the 100,000 Stasi agents. Obvious conclusions were missed all the time because of the sheer difficulty of keeping track of facts cross-referenced on paper in filing cabinets in a large office building. This volume of classified siloed information is toxic for the occupation, operationally unusable. People were disappeared or even executed on mere suspicion because it would have been too difficult to rustle up proof.
Thiel looked at our prospects for effectively running an authoritarian surveillance state in Afghanistan and Iraq, looked at how many American contractors we would have had to devote to that, how many people we would have had to torture on a routine basis, how fast we might learn the language, and said "I think I can do better. A softer touch, a smarter system for controlling people. This is what AI is for, running society after this liberal democracy fiction falls away"
The rest of your comment is, unfortunately, spot on.
https://en.wikipedia.org/wiki/Constitution_of_the_United_Kin...
More importantly, the UK is a Constitutional Monarchy, with ultimate legislative power vested in Parliament rather than the Monarch.
That's got to be the understatement of (many) centuries. AFAIK the UK constitution isn't even even codified into millions of documents, let alone a "single" one. Saying it's not in a "single" document is like saying my trillions of dollars aren't in a "single" bank account. The number of partitions really isn't the problem with that statement here.
Is there a single human (or even computer program) that could even definitively list all the sentences in this "constitution", let alone an arbitrary citizen who needs to be able to become aware of them to be able to follow them? (Note I'm not asking for interpretation, but literally just listing the sentences.) Could they even do this with infinite time? Is it even possible to have an oracle that, given an arbitrary sentence, could indisputably tell you if it is in the constitution?
Maybe that's asking too much. Forget enumerating the laws. Per your own link: "...this enables the constitution to be easily changed as no provisions are formally entrenched."
If this doesn't itself sound silly, hopefully you can at least forgive people for getting irritated at the proposition that there totally exists a "constitution"... that nobody can point to... and that doesn't actually do the one thing many people want from a constitution: being more entrenched than statutes.
> Also of note; even countries with a codified constitution have parts that are uncodified.
Not sure what countries you're referring to, but at least in the US, this is not the case. There is a single document that is the constitution, and (thankfully, so far) nobody is disputing what words are in fact written on that document. And that document absolutely is supreme to statutes.
Interpretation of the words is obviously left to courts in the US, and courts can interpret it differently changing the effective law, but "constitution" is not a synonym for "effective law", and nobody argues over what the words to be interpreted are. And even those interpretations are still written down!
No, it's a living thing. Why is this your sticking point on the existence of a constitution or not?
You are technically incorrect about the UK not having a constitution. It's just not all compiled into a single written document.
I have no doubt that it's an extremely complicated mixture of 100s of systems, but anyone who has lived here knows how terrible it is. GP surgery's have for years had to send paper files across to new practices when a patient moves. The new NHS app is great, but I can see from my history that > 90% is missing.
Another great example of how good the NHS is at this, is the fact that nurses & doctors would have to scroll down a combo list without any typeahead to pick a medication, which would be in an A-Z list of every medication ever.
So, closing the circle, is there a reason to bring in a company that hires people at and above our level of competence, who have the expertise to implement a system to bring the NHS out of the dark ages of IT? Yes. There are many.
There will always be concerns about data, about security, but I'd much rather data be in the hands of a corporation that doesn't leak it than an unknown company getting billions in contracts, building software worse than someone with a $20 Claude extension, and then leaking it to hackers.
Just my 2p
Yep, as someone who's worked at a couple of small startups trying to sell into the NHS, it's terrible. A big part of the problem seems to be that there's no centralised procurement: each trust (of which there are ~200) does their own precurement. And a lot of the companies (the big established players are the worst) at most pay lip service interoperability. So you end with a big mess of system that don't talk to each other.
And they're not setup to pay "market rates" that are competitive with private employers to their in-house developers. So it's hard for them to attract and retain good in-house developers where they have them (although there are still some great people working there).
Is there no one in the UK with any competence?
> who have the expertise to implement a system to bring the NHS out of the dark ages of IT?
Why on earth do you think that's Palantir?
> but I'd much rather data be in the hands of a corporation that doesn't leak it
Until the US government wants it, at least.
But it looks like lobbying by US corporations has resulted in the NHS quietly deleting it's open source policy https://www.digitalhealth.net/2025/12/nhs-england-quietly-re...
So would I and I think Palantir will leak it.
They work with many international governments and companies, and I would imagine any sort of unapproved leak would be disastrous for their brand.
I'm not 100% convinced that the consultancy/implementation being the same as the software vendor is a bad thing.
Depending on the contract it can give you better exit clauses, implementation costs can be subsidised by SaaS revenue, you might have novel clauses for PS overspends, you get rid of the 'implementation vendor blames software vendor' thing, if you need modifications/enhancements to the base product then it sits with the same person, plus we don't know if Palantir's system is easily made for an independent implementation consultant to pick it up and be able to do everything without having to do some backend magic.
> Our mission for the NHS Federated Data Platform is to provide a secure, flexible system that connects data across NHS organisations to improve patient care, streamline services, and support informed decision-making.[1]
[1] : https://www.england.nhs.uk/digitaltechnology/nhs-federated-d...
Either they are completely ignorant about what palantir is and who it's owned by (would be very concerning) or they are corrupt and were bribed.
no british person would down vote this - at least not one with any integrity
Definitely not a conflict of interest...
"We send the EU 350 million pounds a week. Why not send it to Palantir instead?"
(Not that the comparison would make much more sense if it were, apples and doorframes.)
The total contract value was £182,242,760 over 5 years.
For context that's Roughly 0.0002% per year of NHS budget.
https://www.contractsfinder.service.gov.uk/notice/2e8c61c0-f...
Even if I assume that you meant 0.02%, which is equal to 0.0002, that would put their budget at £1.8e12, which I am also strongly inclined to doubt.
100 × ((182/5)/196000) = 0.019%
Which, to me, still seems too high a number for a data management function: I make it about 1000 persons-worth of per-capita GDP.
[1] https://www.england.nhs.uk/long-read/financial-performance-u...
(</s>? Maybe? hard to say tbh)
If staff don't want to work with it then they're not fulfilling their roles.
What if any of us took a job and then refused to work with Microsoft or [Insert company] due to personal reasons? We'd be jobless.
Modern HR culture is working hard to address this terrible failing. </s>
Could you be a bit more specific? No IT initiative at all? No attempt to create a national data spine?