By Blaine Price , The Open University and Andrew Smith , The Open University Like many large modern organisations, the NHS has grown up with constant change – not only in medical practice, but also in the systems that support the daily routine of one of the world’s largest health services. And one current issue is whether the NHS should be using more open-source software. The challenge is twofold: how does one of the largest employers in the world , whose primary focus is medical care, ensure that the information technology it uses is current, relevant, safe and easy to use for medical staff? And how does it ensure that its vast army of IT staff are suitably skilled and capable of supporting current, and future, technology? Tackling both of these is no mean feat. The legacy of legacy The larger you become, the more likely it is that you will have legacy systems supporting many critical services. This is not unique for the NHS – banks, defence and many retailers have to grapple...