> Ideally the NHS would just build it in house, but sadly it's a slow and bloated organisation unable to innovate (as most government managed things usually become).

This is patently false, a narrative often parroted by people who don't understand or have never worked in the NHS.

There are many intelligent people in technical/digital roles in the NHS that innovate on a daily basis - heck, many build systems internally at a hugely reduced cost compared to outsourcing yet decisions come from parliament/gov agencies that overrule internal decision making and waste insane amounts of cash on vanity projects, or scrapping internal work to be redone by the likes of Accenture.