It’s Monday morning. Bleary eyed you walk into your NHS office with your high street takeaway coffee in your hand. As with every NHS IT department you have a wish list and an ongoing project list that differ greatly because of what the trust can afford. You have thirty minutes before another day of back to back meetings where you will manage stakeholders, drive engagement and push through as much progress as you can. Thirty minutes to enjoy your coffee and clear that email backlog. But before that plastic lid can touch your lips there’s a knock on your office door and the words no NHS executive wants to hear are muttered….