The London Ambulance Service implemented a new Computer Aided Dispatch system in 1992 to improve efficiency. However, the system failed when it was launched due to being unable to handle the normal call volume. The project was mismanaged from the beginning - an inexperienced contractor was chosen, testing was insufficient, staff concerns were ignored, and the implementation timeline was too aggressive. As a result, emergency response times slowed and ambulances could not be located. The project should have had stronger management, more user involvement, and thorough testing to avoid the system failure.