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It's blindingly obvious that the NHS lacks the commerical and top notch programme managment expertise needed to deliver this sort of transition.

I predict two things:
1) No heads will roll
2) The increased costs NHS Direct will now incur will end up being met by the taxpayer.

If NHSD underbid on price, they should face the same treatment as a commercial sector organisation would. They made a bad bid and won the business on the back of it. But it isn't a level playing field.

It will be interesting to see if any of the unsuccessful bidders for the regions NHS Direct won will complain/challenge when (2) comes to pass.