Interesting this. The skunkworks model still seems to be top-down rather 
than bottom-up, but it may represent a long-overdue freeing-up of the 
NHS attitude towards software development, which up until now has been 
rather disastrously reliant on mega-big mega-expensive contracts.

http://www.ehi.co.uk/insight/analysis/794/an-open-source-skunkworks

- Edward
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