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Anon 7:38 & 3:07 - absolutely right.

I should also say that the commissioners need to look at themselves very carefully. The word "collusion" springs to mind in terms of both commissioners and providers knowing the spec was wrong and undeliverable, and pressing on anyway.

More than that, both NHSD and the commissioner wanting to "save NHS jobs" and "please political task-masters" and therefore being willing to accept clearly and obviously unworkable promises from NHSD with little or no oversight. For me this points to:

(a) a systemic failure of the NHS commissioning the NHS to do NHS business. It just can't be a level playing field that way.

(b) a general failure of NHS commissioning in placing the timescales of politics and senior management ahead of the timescales of reality, patient safety and workability. Francis report anyone?