, 10 tweets, 4 min read Read on Twitter
Talking on @BreakfastNT about the NCH report
@LeoVaradkar described it as 'pretty grim reading' He wasn't wrong.
So what next?

1/ The report is utterly damming of the NPH Development Board
Did not challenge the executives
Left crucial decisions to their design team (contractors)
Signed off on a flawed business case
Failed to oversee risk registers
2/ But
The NPHDB had 19 staff for a €1 billion project
Had a process driven by a desire for speed
Were given a tendering process (2 stage) which is *known* to be risky
Took too long to set up their executive
3/ So, what about their oversight?
There is not a word about this before April 2017, when two steering groups were set up in @roinnslainte
These groups lacked the necessary skills to ask the right questions, and they didn't
(Similar story before the 2008 banking crash)
Listening to the 6.1 interview with @SimonHarrisTD it seems clear that the parts of the design team are his focus of blame
The report suggests this may not be wholly unfair, this team had and has heavy responsibilities
The NPHDB and @roinnslainte were professional clients. They have heavy responsibilities too.
They did *not* discharge these in any acceptable way
We need to learn from the disaster
'Staffed primarily by senior members of the
DoH and HSE, the [oversight group] lacked the industry experience necessary
to challenge the NPHDB and project team'.
At the very least I'd suggest @SimonHarrisTD starts a root and branch review of @roinnslainte
* struggles with its role 14 years after @HSELive was set up
* lots of good, decent, hard working staff
* short of technically skillled people
* short of effective governance skills
unroll @threadreaderapp please
Talking on @drivetimerte in a minute about all of this.
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