sentences:  The programme represented a significant shift to national priorities over local priorities.The refusal of the Department of Health to make "concrete, objective information about NPfIT's progress [...] available to external observers", nor even to MPs, attracted significant criticism, and was one of the issues which in April 2006 prompted 23 academics in computer-related fields to raise concerns about the programme in an open letter to the Health Select Committee.On 6 October 2006 the same signatories wrote a second open letter
  
  A report by the King's Fund in 2007 also criticised the government's "apparent reluctance to audit and evaluate the programme", questioning their failure to develop an ICT strategy whose benefits are likely to outweigh costs and the poor evidence base for key technologies.