The year 2011 resulted in the expected demise of the English National Health Service estimated £12 billion pound IT strategy and its associated UK government management infrastructure, the National Programme for Information Technology (NPfIT). A new strategy, "The Power of Information" has already been launched in 2012, rising like a Phoenix from the ashes. In this position paper, using an adapted IT maturity model, we argue that many of the lessons from the last decade of failure have not been learnt. This creates an urgent need to rethink a more radical agenda for research with an emphasis on impacting practice towards more localised and effective IT acquisition, development and delivery.