The UK NHS is one of the biggest employers in the world. It absolutely could choose to hire and cultivate that level of expertise but then how would senior management retire into Palantir sinecures?

(It actually has quite a few expert staff who are not delighted with the tools they have been given but they don't have the lobbying power of Palantir and the cluster of consulting firms around it)

Sounds emblematic of a degraded bureaucracy to me, lots of wasted potential.