Interesting take on the challenges which still leaves the lingering question - why weren't these issues thought through before choosing the solution? Was the decision made by those not doing the work or not understanding the problems thus, the solutions chosen was based on assumption, bias, aversion to perceived risk and perhaps other factors. Or worse, the tech was chosen first and forced to fit the perceived problem in order to become the solution.
Either way, the result was little to no reduction in manual overheads incurred. This appears a very common approach/failing across NHS - solve the immediate problem in isolation, based on existing approaches and limitations of incumbent tech. Further, whilst there's a list of things done (activity), I see no mention of 'the need' Is this the tail of solution wagging the dog of need? FWIW - there are also RFID solutions available that don't address these core problems either.
Would welcome a discussion with Claire et al understand WHO made the decisions, based on WHAT rationale. WHAT the user requirements were (if any), the perceived benefits of the solution and whether those benefits were ever realised.