But with hundreds of thousands of new titles each year (a number that self-publishing will only increase) there are good salespeople out there who could, with a decent contractual structure, provide that service.

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But other parts of the programme - launched in 2002 - became mired in technical problems and contractual wrangling and the national programme has effectively been disbanded and local parts of the health service asked to proceed with upgrading IT systems.

BBC: Going paperless 'would save NHS billions'

By diagnosing and addressing the real issues, understanding contractual options, assessing associated costs and risks, and thoroughly planning for the transition to a new service delivery approach, the buyer can make proactive and informed decisions to enable a smoother migration from the incumbent provider and ultimately drive improved business performance.

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