NHS, my understanding is that some time ago the NHS deliberately when through a significant devolution process migrating much authority out of Downing and into the local trusts.
So yes, the NHS is not one deal, it is 1000 deals and to say that there is a one deal opportunity out there per se is misleading.
But it may be equally misleading to indicate that there is not a herd component to the NHS. It is not like selling BoA and then selling Citi and then selling 3M. The NHS has early adopters, followers, is largely a herd, and has some rougues (they wear red suits and wink a lot).
I would expect the NHS to function more like a Gaussian deployment registry than say, automobile manufacturers.
Arguments have been made that landing a lead contract in each of the verticals would have carry on contracts withing given verticals. That has not been observed.
I expect that the NHS represents a vertical where one will see much greater herd behavior than one sees in automobile or chemical manufacturing. Not every one of these NHS trust is uniformly packed with peopel who want to spend all the time on the same trieals and negotiations and so on. Once it is established as a common or majority solution, one for which selection can be judged as reasonable, then I imagine many trusts will say "I'll have what she's having".
but alea may well be right, ca. 2015 e.g.
my thinking is that the UK in general is much more of a herd when it comes to technology deployments and so on, the US has standards and so on, but comparatively the UK drinks this stuff. The matter of an SOP for PII DAR compliance is the type of thing that they do, they do as a herd, and the herd can move rather quickly (compared to the US).
The above content is my opinion.
