NHS staff refusing to use FDP over Palantir ethical concerns

A growing number of NHS staff are reportedly refusing to work on the Federated Data Platform (FDP) due to ethical concerns with its US-based provider, Palantir. The US technology company was...

> The US technology company was awarded a £330 million contract in 2023 to collate operational data, including patient information and waiting lists.

That contract value is ridiculous - how many full time staff do they have on this project and what rates are they charging? How can some say ‘operational data collection’ is worth a third of a billion to NHS over the alternatives of using a third of a billion on patient healthcare and actual medical research? This needs an investigation around how this contract was ever approved.

I assume the purpose of Palantir is to enable the Federal government to circumvent the constitution by framing their new spy agency as a public/private partnership. From that lens the funding makes sense.
There's no federal government in the UK, nor constitution

There is absolutely a Constitution in the UK, it is simply not codified into a single document.

https://en.wikipedia.org/wiki/Constitution_of_the_United_Kin...

More importantly, the UK is a Constitutional Monarchy, with ultimate legislative power vested in Parliament rather than the Monarch.

Constitution of the United Kingdom - Wikipedia

You are technically correct. But the distinction between devolution and a Federation of states gets very blurry when you take a look at what's happening with voting in the US these days.

You are technically incorrect about the UK not having a constitution. It's just not all compiled into a single written document.

The purpose of Palantir is to watch over Mordor and the other lands of Sauron. He's only got one eye, one attention span, he needs intelligent agentic processing to administrate the realm. Who are you going to entrust, Gorthak The Orc? The Nazgul? They have their own priorities, their own limitations.

It was incredibly expensive to run East Berlin as a panopticon state, with a large fraction of the population on the payroll as informers to the 100,000 Stasi agents. Obvious conclusions were missed all the time because of the sheer difficulty of keeping track of facts cross-referenced on paper in filing cabinets in a large office building. This volume of classified siloed information is toxic for the occupation, operationally unusable. People were disappeared or even executed on mere suspicion because it would have been too difficult to rustle up proof.

Thiel looked at our prospects for effectively running an authoritarian surveillance state in Afghanistan and Iraq, looked at how many American contractors we would have had to devote to that, how many people we would have had to torture on a routine basis, how fast we might learn the language, and said "I think I can do better. A softer touch, a smarter system for controlling people. This is what AI is for, running society after this liberal democracy fiction falls away"

Partially redacted details here. The award was over 5 years for half that amount, but could be extended to 10.

https://www.contractsfinder.service.gov.uk/Notice/0f8a65b5-2...

https://www.adamsmith.org/blog/apparently-the-nhs-is-the-wor...

https://www.england.nhs.uk/wp-content/uploads/2020/02/removi...

nhs is famous dumb and has spent years trying to stop using fax machine. £330 million is nothing over a few years.. NHS budget for 2024/25 is circa £242 billion.

the entire annual intake from capital gains tax is £20 million or so

Apparently the NHS is the world's largest buyer of fax machines — Adam Smith Institute

This might not be too much of a surprise, the National Health Service is, apparently, the world's largest remaining buyer of fax machines : The NHS is buying more fax machines than any other organisation in the world due to a “stubborn” resistance to new technology, medical leaders have said. A r

Adam Smith Institute

I think you mean £20 billion for that latter figure. This is largely because a significant amount of assets are held in ISA's (£20k a year contribution per person allowed) , or via personal property which is capital gains exempt or in a pension which is again, capital gains exempt.

Thus only the wealthiest are outside these boundaries, and they often will not liquidate holdings until their death to pay inhertiance tax, or in trusts which will liqudiate over decades as they can pay inheritance tax over a very long period.

This is not to mention the large amounts of off-shore holdings.