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When free and open source actually means £6k-£8k per package: Atos's £136m contract with NHS England

(2021/06/29)


French outsourcer Atos has been charging NHS England between £6,000 and £8,000 for packing up popular free and open-source software requested by workers in the non-departmental government body.

According to documents seen by The Register , data workers in NHS England have to request FOSS packages via their line management. These are fulfilled by outsourcer Atos, as part of [1]its £136m agreement with the Department of Health and Social Care signed in June 2019.

Analysts within NHS England who work on strategic planning of one of the world's largest public health systems, as well as assisting with the COVID-19 response, have requested common, freely available open-source packages such as R, the statistical language, and Python, the general-purpose language.

[2]

Management teams said these would cost between £6,000 and £8,000 for Atos to "package" for the public-sector organisation. The exact figures have not been disclosed to protect the source of the information.

[3]

[4]

One worker at NHS England told The Register that there were also fees for updating FOSS software on NHS systems, which meant management turned down requests, creating security risks.

Dr Marcus Baw, chairman of the Royal College of GPs' Health Informatics Group, told The Register that the outsourcer's fees for free, open-source software were a prime example of why the health service gets such bad value for tech. There were not enough skills within the organisation to install the software, he said.

[5]Serco bags £322m contract extension for Test and Trace, is still struggling to share data with local authorities

[6]I was fired for telling ICO of Serco track and trace data breach, claims sacked worker

[7]India tweaks telecoms laws to make itself an even more attractive offshoring destination

[8]Blue passports, French service provider: Atos bags £21m UK Passport Office deal

"If you're an IT manager who hasn't touched anything other than packages of Microsoft stuff in years, then one of the simplest ways to de-risk the process is to outsource it.

"It's a symptom of a wider cultural issue within all NHS tech organisations."

[9]

Baw said that [10]NHSX , set up by former Health Secretary Matt Hancock to develop best practice in technology and data usage ( [11]"Allow Matt Hancock to access this device's location" , anyone?), was a case in point.

"They've hired directors of everything , and yet they still haven't actually turned out any particularly useful products. The NHS COVID app, something they brandish as a success of NHSX... well, that was delivered by NHS Digital."

An Atos spokesperson told The Register : "In line with government and NHS policies, all software must be safely and securely deployed within guidelines provided to us. For a small number of users, the client does at times administer software deployment itself but we may be asked to package and deploy the software for a more significant proportion of the workforce.

[12]

"This involves a number of steps including requirements capture, testing, UAT and verification. Such activities and costs associated are always carefully considered and are proportionate and are not on a per user basis."

NHS England was contacted for comment last week but has yet to reply. ®

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[1] https://bidstats.uk/tenders/2019/W25/705101948

[2] https://pubads.g.doubleclick.net/gampad/jump?co=1&iu=/6978/reg_software/front&sz=300x50%7C300x100%7C300x250%7C300x251%7C300x252%7C300x600%7C300x601&tile=2&c=2YNtDoZdzqVGDJ3mpwPv86AAAAMQ&t=ct%3Dns%26unitnum%3D2%26raptor%3Dcondor%26pos%3Dtop%26test%3D0

[3] https://pubads.g.doubleclick.net/gampad/jump?co=1&iu=/6978/reg_software/front&sz=300x50%7C300x100%7C300x250%7C300x251%7C300x252%7C300x600%7C300x601&tile=4&c=44YNtDoZdzqVGDJ3mpwPv86AAAAMQ&t=ct%3Dns%26unitnum%3D4%26raptor%3Dfalcon%26pos%3Dmid%26test%3D0

[4] https://pubads.g.doubleclick.net/gampad/jump?co=1&iu=/6978/reg_software/front&sz=300x50%7C300x100%7C300x250%7C300x251%7C300x252%7C300x600%7C300x601&tile=3&c=33YNtDoZdzqVGDJ3mpwPv86AAAAMQ&t=ct%3Dns%26unitnum%3D3%26raptor%3Deagle%26pos%3Dmid%26test%3D0

[5] https://www.theregister.com/2021/06/28/serco_bags_a_322m_contract/

[6] https://www.theregister.com/2021/06/28/serco_track_trace_claim_tribunal/

[7] https://www.theregister.com/2021/06/24/india_osp_liberalisation/

[8] https://www.theregister.com/2021/06/11/atos_21m_passport_office/

[9] https://pubads.g.doubleclick.net/gampad/jump?co=1&iu=/6978/reg_software/front&sz=300x50%7C300x100%7C300x250%7C300x251%7C300x252%7C300x600%7C300x601&tile=4&c=44YNtDoZdzqVGDJ3mpwPv86AAAAMQ&t=ct%3Dns%26unitnum%3D4%26raptor%3Dfalcon%26pos%3Dmid%26test%3D0

[10] https://www.theregister.com/2019/09/06/know_what_the_nhs_really_needs_influencers/

[11] https://www.theregister.com/2018/02/01/matt_hancock_app_privacy_bug_ed_vaizey/

[12] https://pubads.g.doubleclick.net/gampad/jump?co=1&iu=/6978/reg_software/front&sz=300x50%7C300x100%7C300x250%7C300x251%7C300x252%7C300x600%7C300x601&tile=3&c=33YNtDoZdzqVGDJ3mpwPv86AAAAMQ&t=ct%3Dns%26unitnum%3D3%26raptor%3Deagle%26pos%3Dmid%26test%3D0

[13] https://whitepapers.theregister.com/

Allez!

Anonymous Coward

Merci encore, mes petites biches anglaises. (Aux idiots l'argent brûle les doigts...)

They should ask me

Anonymous Coward

I'd happily pop down to the local hospital and install whatever free/libre and open source software they want, and I wouldn't charge for a good deed.

IY@

Potemkine!

You chose not to keep a competent IT staff internally, then don't be surprised to pay for anything when outsourced.

If you ain't happy, contact the bean-counters who told you it was the right thing to do.

A Pity

Chris G

The NHS isn't £350million a week better off, they could do with it to pay the French.

Is there no one in the British government whp has an idea of how to write and spec a tender?

Re: A Pity

iron

There may not be anyone in British government who knows how to write.

Re: A Pity

Chris G

Crayons only huh?

I wonder if they have a pin board for cabinet meetings and award a gold star for drawing of the week?

Not enough skills?

Dave 15

Thats bollocks. There are certainly enough skills in the UK where 20% of the work force is sitting idle and a very large number of software guys are underpaid or out of work.

At current salaries 6k is about a month, it doesnt take a month to package something for deployment. It might take a month to find a package system and get it ready so any package can be deployed with it.

Missed out

Chris Hills

If I had known that i could have earned my yearly salary by packaging 3 applications I would have taken a lot more holiday time!

What is this on the Grenfell scale?

Trollslayer

I would say higher because it puts a lot more people at risk.

Unfortunately of course...

TonyJ

...this is how (especially public sector) outsourced contracts are designed and written from the ground up.

Initially seem cheaper than your own staff. Great.

However, they are very precise in exactly what you can expect to get for that money and anything even vaguely outside of that prescribed detail, you pay.

As others have pointed out, this falls on the shoulders of the people who thought it would be better (read: cheaper) to outsource. They always look at the top line and miss the devil in the detail.

Re: Unfortunately of course...

PerlyKing

They always look at the top line and miss the devil in the detail.

Or, they read and understand the whole thing, and calculate that they can grab the glory and be long gone by the time the details bite.

Cynical, me?

Re: “Cynical, me?”

TimMaher

Cynical, moi?

FTFY

Re: Unfortunately of course...

SecretSonOfHG

<>

You forgot to add: these people make sure they are not around when the true, actual costs of outsourcing are realized. By that time they have already collected their saving targets bonuses and have moved to another organization where they are treated as star innovators (and have agreed another huge bonus for doing exactly the same thing)

The cycle ends when they retire or move as executives of one of their outsourcing partners.

Coincidence?

elsergiovolador

It seems like the quality took a nose dive and costs rocketed after IR35 changes.

How is that good for the tax payer?

Re: Coincidence?

Velv

In what universe has this anything to do with IR35?

Outsourced contracts have had these types of service since forever, long before IR35 was even a thing never mind recent interpretation changes. This is how outsourcers make a profit, provide the basic service at or below cost, but charge through the nose for everything above and beyond the basic service.

Re: Coincidence?

Doctor Syntax

Freelancing is small scale outsourcing. It's the sort of task that could and should have been handled at that scale.

Re: Coincidence?

Anonymous Coward

> In what universe has this anything to do with IR35?

IR35 drives flexible, lower-cost, independent contractors into the arms of the big companies since it rapidly becomes pointless to be anything other than a paid employee with accompanying benefits.

The big companies then have to be used because of a shortage of other options and can continue to charge outrageous prices for simple tasks.

Handlebars

Is this the same shop that was caught out by Excel 97's row limit last year? I feel sorry for their analysts. I work for a different part of the NHS and when I needed Python, my boss approved it and our internal IT set me up.

keithpeter

Can you add libraries with pip and all yourself?

(Just thinking of possible future project costs Altos could come up with...)

Handlebars

I can. I get the impression NHSE staff can't.

Anonymous Coward

"Is this the same shop that was caught out by Excel 97's row limit last year?" - No that was PHE.

What is FREE?

Anonymous Coward

So just because some software has a free license, it costs nothing to install and maintain? What rubbish.

While £5-7k is certainly crazy expensive, it is ridiculous to think that packaging, testing, installing and supporting "free" software is itself free. It isn't.

Re: What is FREE?

keithpeter

The quote at the end of the OA included the phrase "Such activities and costs associated are always carefully considered and are proportionate and are not on a per user basis."

A one off fee for packaging something like R (in such a way that packages can be added as required by the user - remember that means fetching code from CRAN and possibly compiling fortran/c++ bits) for the whole NHS or for a given network could be envisaged.

Anyone got more information?

Re: What is FREE?

Doctor Syntax

Given that R is sitting, ready packaged, a my and I guess most Linux distros' repositories this doesn't seem to be a massive task. £6k for something that can be done with apt install r-recommended?

Re: What is FREE?

Handlebars

The article reads like it's 5k for Matplotlib, another 5k for Pandas and so on, at the organisation level rather than per seat. This strikes me as expensive, given the bulk of the work is done by the library developers upstream from Atos.

Re: What is FREE?

Anonymous Coward

The work isn't done by library devs at all. There isn't even a proper single standard for installing apps on Windows.

Each app has to be checked for suitability for delivering to a secured, locked-down desktop via SCCM.

It then has to be tested to ensure that it doesn't mess things up for the 15k or so users on that platform. Of which there are several flavours due to differences in organisation and departments.

It also has to be reviewed for security and privacy - how many times have we now seen where even a seemingly benign minor version "update" to an open source application has introduced insecurities and even malware or at least adware.

People need to stop applying consumer grade levels of "reasonable" to enterprise systems.

There is a VERY good reason that NHS England didn't fall foul of Wannacry or indeed that it has NEVER had a malware outbreak.

As I say, I agreed that the price seems excessive. But the price HAS to be more than zero.

Re: What is FREE?

Snowy

Nowhere in the article did it mention support. That price was just to package and deliver it, I would imagen that support would be extra.

Doctor Syntax

It would be good to think that politicians would realise that "going digital" or being "data driven" involves more than making the announcement, showing each other PowerPoints about it and discovering the hard way how to handle more than 32K rows of data. They should at the very least work out what might then be their core competences - stuff that they shouldn't outsource but have in-house.

Anonymous Coward

What is wrong with outsourcing app packaging?

Answer: Nothing - as long as you get the price correct.

Quelle suprise

502 bad gateway

Well colour me shocked, outsourced IT support probably costs more when exorbitant fees for such free software installation is considered. I’ll bet it’s the tip of a very large iceberg too.

Facts do not cease to exist because they are ignored.
-- Aldous Huxley