Digital Implementation, Featured, News, Thought Leadership April 16, 2025

Data solutions to solve the South West’s patient discharge crisis

By Professor Christos Vasilakis and Dr Zehra Onen Dumlu

Professor Christos Vasilakis, Founding Director of the Centre for Healthcare Innovation and Improvement – CHI²) and Dr. Zehra Onen Dumlu from the University of Bath discuss the IPACS project – a collaborative, data-driven approach to improving patient flow.

Delayed discharges, often known as ‘bed blocking’, is a serious operational challenge for NHS managers across the country. According to NHS England data, in February 2024 there were between 13,200 and 14,200 patients remaining in hospital each day who did not meet the criteria to stay. This accounts for more than one in eight general and acute beds in England.

While patients are deemed medically fit for discharge, they remain in hospital due to complexities in arranging necessary social care or community nursing support for a safe transition. The knock-on effects are significant, placing immense strain on acute bed capacity and negatively impacting patient flow and their experience.

The IPACS project: A collaborative, data-driven approach

To address the issue, the Improving Patient Flow between Acute, Community, and Social Care (IPACS) project was launched in 2020. This significant three-year initiative received funding from Health Data Research UK (HDRUK), an independent charity focused on using health data research to address major healthcare challenges.

IPACS brought together a diverse team, combining academic expertise with frontline NHS operational knowledge. Collaborators included the University of Bath, the University of Exeter Medical School, and significantly, the Bristol, North Somerset, and South Gloucestershire (BNSSG) Integrated Care Board (ICB).

The goal of the project was to develop an open-source computer simulation model capable of analysing the complex dynamics of patient flow. This tool would offer a potential blueprint for healthcare organisations nationwide grappling with delayed discharge pressures.

Central to the project was the application of Operational Research (OR) techniques – using advanced analytical models to dissect and solve complex systemic problems. Several team members brought extensive OR experience, with affiliations to The Operational Research Society, demonstrating the project’s robust methodological foundation aimed at enhancing healthcare efficiency.

A multidisciplinary team driving innovation

The success of IPACS hinged on its multidisciplinary collaboration. BNSSG ICB’s Head of Modelling and Analytics, Dr Richard Wood, and University of Bath Research Fellow Dr Paul Forte provided essential insights into real-world healthcare operations and ensured the project outputs were relevant and accessible to NHS decision-makers.

Academic leadership came from Professor Christos Vasilakis (founding director of the Centre for Healthcare Innovation and Improvement – CHI²) and Dr Zehra Onen Dumlu at the University of Bath, working alongside Professor Martin Pitt and Dr Alison Harper from the University of Exeter Medical School. This combined team undertook the intricate task of designing, developing, and validating the simulation framework.

Focusing on the critical ‘Discharge to Assess’ service

A key focus for the IPACS project was the transition of patients from acute settings into community care, specifically via the ‘Discharge to Assess’ (D2A) service. Optimising this service is key to improving hospital throughput. The project modelled the three core D2A pathways:

Pathway 1 (P1): Enabling patients to return home with domiciliary support.
Pathway 2 (P2): Providing bed-based rehabilitation for those needing more intensive recovery support post-discharge.
Pathway 3 (P3): Catering for complex care assessments, frequently leading to long-term care placements.

The IPACS model aimed to help optimise capacity planning and resource allocation across these vital pathways.

The BNSSG region: A relevant testing ground

The Bristol, North Somerset, and South Gloucestershire (BNSSG) region, serving approximately one million people, served as a practical case study. Its demographic mix and blend of urban and rural environments reflect challenges common across the NHS. The region’s D2A pathways were experiencing significant pressure, with high occupancy and discharge delays, providing a rich, real-world dataset and demonstrating the urgent need for the solutions IPACS explored.

Operational Research and simulation modelling in practice

Professor Vasilakis and Dr Wood pinpointed the core management challenge: the complex interdependencies between acute, community, and social care services. Bottlenecks in community and social care inevitably impact upstream services, contributing to emergency department pressures and ambulance handover delays.

The IPACS team used real-time data on patient occupancy and discharge delays to build their model. This allowed them to establish baseline performance and, critically, to run “what if” scenarios, varying parameters like length of stay and arrival rates to understand potential impacts of service changes.

Computer simulation modelling, a cornerstone of OR, was central to this. The model allowed the team to:

Simulate patient journeys through the D2A pathways in detail.
Test potential interventions virtually to assess their likely impact on flow and delays.
Analyse how best to allocate resources to mitigate discharge delays.
Account for time-varying demand patterns.

Built using the open-source ‘R’ programming language, the model prioritised accessibility and transparency.

Demonstrating real-world impact and future potential

The IPACS model provided valuable quantitative insights. Outputs clearly demonstrated the potential benefits of achieving target pathway splits and reducing lengths of stay within the D2A service. Significantly, estimates generated by the model were used to support a £13 million business case for enhancing the local D2A system – highlighting the project’s tangible value in informing strategic investment decisions.

The team acknowledged the model does have some limitations. It doesn’t yet capture every element of discharge, such as specific social care inputs, palliative care routes, or detailed post-D2A placement dynamics. Data completeness also needs some ongoing attention. Future work could involve expanding the model’s scope to incorporate social care elements more deeply, analyse the impact of acute capacity constraints, optimise home-based care models, and potentially develop faster analytical tools.

The ongoing challenge and strategic steps forward

Tackling delayed discharge requires effective strategies, and the IPACS project highlights the value of OR. Using OR methods such as simulation modelling allows NHS managers to better understand complex discharge pathways, evaluate potential solutions before implementation, and make more informed, evidence-based decisions about resource allocation to improve patient flow and reduce delays.

*Dr Zehra Onen Dumlu, Assistant Professor, University of Bath*

*Professor Christos Vasilakis, Founding Director, Centre for Healthcare Innovation and Improvement – CHI²*

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UK digital health company launches Prevention Innovation Fund to support ICSs

By Integrated Care Journal

Holly Health has announced a £320,000 fund, offering systems access to psychology-based digital health services, enabling system leaders to move forward with prevention initiatives.

Long-term conditions (LTCs), mental health challenges, and multimorbidity rates are rising, with lifestyle risk factors the biggest cause. This is impacting system costs (£18.4 billion, or over three quarters of NHS expenditure, is spent on long-term care per year) and workplace sickness (38 per cent of people of working age on long-term sickness, report having 5 or more LTCs). The vast majority of people living with these challenges currently get no tailored support for lifestyle health improvement.

Holly Health has today announced a £320,000 Prevention Innovation Fund, offering up to four integrated care systems (ICSs) (or equivalents in Scotland and Wales) up to £80,000 credit each towards deploying a proven, psychology-based digital health coaching service, to increase self-management support across their region.

The goal of the fund is to help NHS system leaders to move forward with large scale prevention initiatives efficiently, supporting progress towards the three new UK healthcare strategy ‘shifts’, from treatment to prevention, hospital to community and analogue to digital.

Holly Health is a fully digital, yet personalised, health coaching service which supports patients to develop sustainable health habits across mental and physical health and most lifestyle risk factors.

Backed by the NHS Innovation accelerator, and with more than 200 GP practices partnerships around the UK, Holly Health outcomes show significant average health improvements across areas like exercise, mental wellbeing, weight and blood pressure. Additionally, GP appointments show consistent reductions after using Holly Health, especially in more frequent service users.

Steve Woodford, NHS Non-Executive Director at NHS England, said: “The NHS has an opportunity to shift towards a proactive, preventive and personalised care system, with the help of technology. Services like Holly Health can help to drive these changes affordably and efficiently. This is a great opportunity for ICB teams, enabling scalable self-management support for people living with or at risk of long-term conditions.”

There are two main ways in which ICSs will be able to launch Holly Health at scale. One is via traditional routes, deploying Holly Health via primary care and public health services. The second, a route fit for the future NHS, is to launch Holly Health to members of the public, via the NHS App, made possible by a brand-new collaboration between Holly Health and Patients Know Best, also announced today.

Patients Know Best (PKB) is the UK’s leading personal health record platform, enabling patients to access and contribute to their health records using the PKB website and via the NHS App. The new Holly Health and PKB integration allows the Holly Health digital health coaching service, and PKB records to ‘speak’ to each other, so that members of the public can transfer blood pressure readings and lifestyle health data into their personal records. ICS teams will also have the new opportunity to reveal access to Holly Health coaching, via PKB and the NHS app, supporting the government’s vision for a single place for people to manage their health.

Grace Gimson, chief executive at Holly Health, said: “We’re extremely excited to make this double announcement: the launch of our Prevention Innovation Fund, and go-live of our partnership with PKB. Both have the potential to drive huge systemic changes in UK healthcare, driving prevention and personalised patient care forward, at population scale.”

Mohammad Al-Ubaydli, chief executive at PKB, said: “Holly Health’s pioneering approach to preventative care, perfectly complements PKB’s mission of empowering patients with their health data. Together, we’re creating a seamless experience where patients can proactively manage their wellbeing and maintain a complete, holistic view of their health, all in one place to share with whoever they need to.”

ICSs, and their equivalents in Scotland and Wales, wishing to find out more about the Prevention Innovation Fund, and to apply, should contact hello@hollyhealth.io.

Catherine Davies, Director of Digital Healthcare Council, commented: “Holly Health’s new Innovation Fund is a great opportunity for NHS systems to deploy evidence-based solutions at scale. Their digital health coaching helps accelerate the Government’s three shifts, particularly from treatment to prevention, delivering measurable outcomes for the NHS while empowering patients to take control of their health.”

AXREM launches imaging IT Manifesto at the home of code breaking

By Integrated Care Journal

On 2nd April, almost 100 AXREM members and key external stakeholders gathered at Bletchley Park Museum for the launch of the AXREM Imaging IT Manifesto: Here to Enhance Patient Care and Improve Outcomes.

AXREM, the Association for Healthcare Technology Providers for Imaging, Radiotherapy and Care, has released its latest manifesto, Here to Enhance Patient Care and Improve Outcomes, at a specially convened event hosted at Bletchley Park. AXREM is the trade association representing the suppliers of diagnostic medical imaging, radiotherapy, healthcare IT and care equipment in the UK.

Bletchley Park was the headquarters of the British Military Intelligence Government Code and Cipher School during World War II. The estate employed 12,000 code breakers and staff. Bletchley Park was where Alan Turing and other agents of the Ultra intelligence project decoded the enemy’s secret messages, most notably those that had been encrypted with the German Enigma and Tunny cipher machines.

The event and venue were supported by headline sponsors Medihive, Sectra and Soliton IT and our other event sponsors Barco and Magentus.

The event kicked off in the Fellowship Auditorium with an opening address by AXREM Chief Executive Office, Sally Edgington, who told the audience: “I am sure you will agree in the world of healthcare, imagination is a powerful tool. It fuels innovation, creativity, and the breakthroughs that transform lives. Every medical advancement we’ve seen and every life-saving treatment, every new technology, every improvement in care began with someone imagining what could be. From the discovery of penicillin to the invention of imaging technologies that AXREM members provide today, that allow us to see inside the body, it all began simply by imagining.

“Imagine a world where communication was entirely encrypted, hidden behind layers of codes and puzzles, making it impossible for anyone to understand the information unless they had the key. For centuries, such encryption kept secrets safe, but it also prevented progress. It was only when brilliant minds like those who broke the Enigma code during World War II decided to challenge the impossible, to unravel the mysteries hidden within the most complex puzzles, that the world began to change. And from that pivotal moment, we saw the birth of a revolution that would eventually shape the future of information technology, transforming every aspect of our lives including healthcare.

“Code-breaking, at its core, is about unlocking potential—breaking down barriers that prevent us from accessing the full power of knowledge. In the field of healthcare, code-breaking represents the key to unlocking new possibilities for how we diagnose, understand, treat, and prevent diseases. It symbolises the ongoing evolution of data, communication, and technology, where each innovation leads to new ways of using information to save lives and improve our well-being.”

The event welcomed Bletchley Park historian Dr Thomas Cheetham who spoke about the history of codebreaking at Bletchley Park and how it is related to modern day cyber security.

David Lawson, Director of MedTech at the Department for Health and Social Care (DHSC) spoke about getting the basics right to support the adoption of new technologies and discussed some of what DHSC is doing to support this. Richard Evans, Chief Executive of the Society and College of Radiographers spoke about the importance of industry collaboration and the College of Radiographers Industry Partnerships Scheme (CoRIPS). Gareth Lambe, Medihive CEO, spoke about the work of Medihive, while Chris Scarisbrick, Customer Operations Director & Deputy Managing Director UK&I, spoke about Sectra’s work with medical technology and encrypted communication systems.

The focus of the event, however, was on the launch of AXREM’s Imaging IT Manifesto. AXREM Imaging IT Convenor and Chief Commercial Officer at Soliton IT, Bob Childe spoke about the manifesto in detail and concluded with the manifestos calls to action. Bob ended his speech by advising attendees, that AXREM members are our strength, and he hopes that key external stakeholders will call upon AXREM member expertise to assist in addressing many of the things in the manifesto.

MSE FT deploys AI-powered MyStaff App to boost compliance and efficiency

By Integrated Care Journal

With mounting pressure on nursing staff and increasing emphasis on patient safety protocols, the MyStaff App ensures that every healthcare professional has instant access to the most current clinical guidelines, reducing the risk of outdated information impacting patient care.

An AI-driven document management solution is demonstrating efficiency across NHS frontline services, reducing average document retrieval times from 10 minutes to just 30 seconds and unlocking 140,000 additional hours for patient care at Mid and South Essex NHS Foundation Trust (MSE FT).

The MyStaff App, developed in partnership with Diligram, is a cutting-edge digital governance tool designed to simplify access to over 1,500 policies, procedures, and patient care guidelines. By integrating AI-powered search, real-time updates, and mobile-first design, the app is dramatically improving workflow efficiency, reducing risk, and setting a new benchmark for digital transformation in the NHS.

With 90 per cent of the Trust’s 15,000-strong workforce actively using MyStaff App, MSE FT has demonstrated how digital innovation can drive faster, safer, and more streamlined operations across healthcare settings.

Historically, NHS staff have had to navigate outdated, fragmented systems to locate essential documents –leading to wasted time, inconsistent guideline adherence, and increased clinical risk. Before MyStaff App’s implementation, healthcare professionals at MSE FT spent an average of 10 minutes searching for a single document, adding unnecessary delays to decision-making and patient care.

Matthew Hopkins, CEO of MSE FT, explained why the Trust prioritised digital transformation: “One of the biggest inefficiencies in the NHS is time spent navigating multiple systems just to find key policies and clinical guidelines. By using AI to streamline access to critical information, we’re not only saving time but also improving compliance, patient safety, and governance across the Trust.”

Since rolling out MyStaff App in January 2024, staff adoption has risen by 78 per cent, with more than 864 documents accessed every day. These figures highlight a demand for smarter, AI-powered solutions to improve efficiency across NHS frontline services.

MyStaff App’s most significant advantage lies in its advanced AI search functionality, which allows users to retrieve the latest policies and procedures in under 30 seconds. This represents a 95 per cent reduction in search time, drastically minimising interruptions to patient care. The app’s intelligent indexing and natural language processing (NLP) capabilities mean that healthcare professionals can search for information using everyday language, removing the need for complex keyword-based queries.

Describing the impact of instant access to patient information leaflets, Dr Alex Hieatt, Consultant in Emergency Medicine at MSE FT, said: “Having immediate digital access to policies and patient information has transformed the way we work. It reduces delays, ensures patients receive guidance faster, and improves overall safety and efficiency.”

This is particularly valuable in high-pressure environments such as emergency departments, critical care and maternity services, where staff need to make rapid, evidence-based decisions without being slowed down by administrative barriers.

Beyond efficiency, MyStaff App is also enhancing governance and compliance. Before the app’s introduction, guideline compliance at MSE FT stood at 76 per cent. Since adoption, compliance rates have surged to 98 per cent and have remained consistently high for over six months.

Harriet Dobbs, Matron in Antenatal and Postnatal Services, highlighted how digital transformation is reducing clinical variation and improving consistency in patient care: “Having a single source of truth for policies means that when a guideline is updated, every nurse and doctor is working from the most current version. That kind of real-time synchronisation is critical for patient safety and regulatory compliance.”

With real-time audit tracking, MyStaff App allows healthcare leaders to monitor which documents are being accessed, when, and by whom – providing unprecedented visibility into workforce engagement and compliance levels.

As part of the NHS’s £2 billion digital transformation strategy, AI-powered solutions like MyStaff App are playing a crucial role in modernising outdated processes, improving workforce efficiency, and ensuring greater transparency in hospital operations.

Leslie Golding, CEO of Diligram, believes AI-driven automation is the future of NHS digital governance. She commented: “The NHS generates vast amounts of data every day, yet outdated systems mean much of that information is difficult to access or underutilised. MyStaff App is designed to bridge this gap, providing AI-powered automation that makes policy retrieval faster, compliance tracking smarter, and healthcare workflows more efficient.”

Unlike traditional document management systems, MyStaff App is fully optimised for mobile use, ensuring frontline staff can access guidelines from anywhere, at any time—whether on ward rounds, in theatres, or during patient consultations.

The success of MyStaff App at MSE FT has already led to wider adoption, with University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) rolling out the system.

As NHS organisations continue to seek scalable, high-impact digital solutions, MyStaff App’s proven efficiency gains and compliance improvements make it an attractive model for national implementation.

Matthew Hopkins sees MyStaff App as a blueprint for NHS-wide transformation. He said: “One of the biggest inefficiencies in the NHS is time spent navigating multiple systems just to find key policies and clinical guidelines. By using AI to streamline access to critical information, we’re not only saving time but also improving compliance, patient safety, and governance across the Trust.”

With NHS leaders pushing for greater automation, better data management, and AI-enhanced decision-making, MyStaff App is part of a broader shift towards intelligent, integrated digital ecosystems in healthcare.

Key priorities for the next phase of NHS digital transformation include:

Further AI-driven automation to streamline document approval workflows
Integration with wider NHS systems for seamless interoperability
Enhanced analytics to provide Trust leaders with deeper insights into staff engagement and compliance trends

As demand for smarter, AI-powered solutions grows, MyStaff App is proving that real-world digital innovation is possible and already making a measurable impact on NHS frontline efficiency.

Digital care homes model could save ICBs £14 million annually, report shows

By Integrated Care Journal

New report sets out a blueprint for transforming health and care in the community, with real-world evidence suggesting that scaling the model across an ICB could reduce the cost of healthcare by £14.2 million annually, and over £360 million nationally.

A validated, integrated model of care delivery is transforming health management in care homes, with the potential to reduce the cost of healthcare for the NHS by millions annually, according to a report published today.

Led by Kent County Council, the model provides the care sector with tools and skills to enable early detection of deterioration and management of health risks – such as infections, chronic cardiac and respiratory issues, and other common causes of falls and exacerbations – reducing unnecessary conveyances and hospital admissions. The approach could deliver £14.2 million in annual savings for local health systems if scaled across all care homes in the Kent and Medway ICB alone, with savings from national adoption exceeding £360 million.

Transforming care through digital innovation and proactive change management

The report, co-authored by Care City – a Barking-based centre for healthy ageing and regeneration – and healthcare consultancy Candesic, in collaboration with Kent County Council and Feebris, proposes a blueprint for integrating data and technology to improve care delivery in the community. The model is built around three key pillars:

Proactive health in care homes: Equipping care staff with advanced training and digital tools to detect health issues early, preventing avoidable deterioration and exacerbations
Integrated multi-disciplinary collaboration: Improving coordination between care homes, GPs and community health teams through a connected digital infrastructure, allowing for the delivery of joined-up, person-centred care for residents with complex needs
Hospital-level care in care homes: Ensuring residents receive the care they need in the most suitable setting, cutting down avoidable hospital admissions and supporting care homes to manage acute health needs where appropriate

Real-world impact: Improving outcomes while reducing avoidable utilisation of emergency services

Focusing on the first pillar, the report includes an evaluation of a 12-month initiative running in Kent and Medway. Through this project, the Feebris virtual care platform was deployed across 24 care homes to deliver early risk assessment and proactive monitoring for 1,000 residents.

The evaluation demonstrates the impact of the integrated digital model of care delivery proposed, with key findings including:

75 per cent of care homes adopted proactive health workflows, enabling earlier detection of deterioration
8x fewer care homes experienced high volatility in care needs, improving resource allocation
Over 50 per cent fewer care homes reported above-average ambulance callouts, with 70 per cent fewer reporting high hospital conveyance rates
Hospital admissions dropped by 20 per cent, reducing strain on the NHS and improving resident outcomes

For care home residents, this means receiving personalised care that allows them to remain healthier for longer in a familiar environment. By detecting deterioration early, the appropriate healthcare service can intervene sooner and reduce any potential distress and disruption caused by emergency admissions while also mitigating risk of deconditioning.

£530,000 in NHS savings for every 1,000 care home residents annually

Over the 12-month period, the reductions in hospital admissions and ambulance callouts resulted in an estimated £530,000 in NHS savings, with 860 bed days freed up for every 1,000 care home residents, leading to a 5.2X Return on Investment.

Helen Gillivan, Head of Innovation and Partnerships at Kent County Council, said: “We’re proud to have led this successful initiative at Kent County Council, which is making a real difference to care homes, care staff and some of our most frail residents across Kent and Medway. Care teams tell us this system has become part of everyday practice, helping them to deliver more responsive, person-centred care that benefits both staff and residents.

“Social care is critical to the sustainability of our entire health and care system. As this research shows, investing in the sector doesn’t just benefit care providers – it strengthens the wider system, improving outcomes for our staff and for residents while easing pressure on health services.”

Removing barriers to scale: What can we change today to drive long-term transformation?

While the findings highlight the impact of digital innovation in social care, the report also puts the spotlight on key structural barriers preventing widespread adoption. It highlights a number of recommendations, including:

Restructuring financial incentives to enable social care providers to resource delivery of preventative interventions, given the impact demonstrated with the model adopted by Kent and Medway.
Strengthening the care workforce through greater investment in training and development, helping to attract and retain talent and recognising the vital role played in supporting ageing populations and reducing growing system pressures.

Matt Skinner, CEO of Care City, said: “This report is proof that social care can and must play a bigger role in the future of our health system. By empowering care staff with the right tools, training and trust, we can improve outcomes, reduce emergency demand and deliver more joined-up, preventative care. It’s been a privilege to support this work and co-author a blueprint for transformation that we hope will inspire action across the country.”

Dr Michelle Tempest, Senior Partner at Candesic, said: “This report represents a huge effort in gathering real-world data from across health, community and social care to showcase real impact and set out a proven model of transformation that meets the needs of our ageing populations. At a time when ICBs are under immense pressure and need support, this work provides an actionable roadmap to driving sustainability and impact.”

Tracy Stocker, Director of Operations at Medway NHS Foundation Trust, said: “We are pleased to see the results of our colleagues in Kent County Council and excited to say that we are aligned in our approach and looking forward to linking this work up with our Virtual Hospital vision. This is a springboard to building connected virtual ecosystems of care, centred on the patient, meeting them where they are, and coordinating our resources in the most efficient way.”

Dr Elina Naydenova, CEO and Co-Founder of Feebris, said: “It’s long been clear that transformational change is required to meet the growing challenges faced by the system, and as today’s report highlights, our partners at Kent County Council are leading the way with their approach. Given the tremendous financial pressures on health and care globally, now is the time for a grassroots movement of forward-thinking organisations to come together and evolve the care model to meet these challenges head-on.”

A summary and the full white paper can be accessed here.

For more information or to arrange an interview, please contact leo@feebris.com.

A broken process that is digitised is still broken – reflections from Rewired 2025

By David Duffy

Rewired 2025 offered a timely and valuable touchpoint for a healthcare sector still absorbing the shockwaves of seismic reform and uncertainty. Speakers struck a careful balance between optimism about the future and realism about what is possible in a resource-constrained environment.

A growing realisation is taking hold: there will never be enough money to meet every demand, so the key lies in driving system-wide improvements and enabling local innovators to lead the way. With this in mind, Rewired’s vast array of digital experts, NHS leaders and industry stakeholders put forward a cautiously optimistic vision of UK health and care’s future, with some using the platform to inject a dose of realism into the digital healthcare debate.

Abolishing NHS England – opportunity or risk?

Just days after the Prime Minister’s announcement to abolish NHS England, Rewired 2025 provided a platform for the sector to process the news and begin charting a path forward. Senior leaders, including NHS England’s Transformation Director Vin Diwakar acknowledged the gravity of the decision. However, he and many senior figures speaking at Rewired framed it as a necessary step to reduce barriers to digital innovation.

While uncertainty about the future was evident, the conference floor was abuzz with anticipation for the upcoming 10-Year Plan and how this can unlock innovation across health and care.

Diwakar also used his keynote to reassure innovators and tech suppliers that the Government remains committed to digital investment, with a stronger focus on interoperability and unified procurement. There is a sense that NHS England’s merge with DHSC presents an opportunity to free local innovators to drive implementation at pace.

Tech alone won’t solve the productivity crisis

NHS productivity fell by over 20 per cent in 2020/21, and bringing this back to pre-pandemic levels remains a monumental challenge. The government (much like every government in living memory) has claimed the solution lies in a digital future driven by AI.

There is no doubt that digital innovation and AI are part of the solution, but they are not magic bullets for this deeply complex issue. Increased digitisation does not automatically lead to increased productivity. As Pritesh Mistry of The King’s Fund put it:

“If you digitse a broken process, you get a broken digital process.”

The need to be realistic about digital was repeatedly borne out during discussions, with agreement that it is the job of sector leaders to tamper expectations and chart a realistic, iterative path to transformation.

Dr Marc Farr of East Kent NHS Foundation Trust highlighted the importance of reframing digital innovation to ensure staff buy-in. Technology should not only improve efficiency but also enhance staff satisfaction and happiness. All staff understand the need to be more efficient, but tech should also make the NHS a happier place to work. Stephen Powis echoed this in his keynote address, emphasising how effective digital tools can boost staff satisfaction and retention in primary care.

Getting a better deal on tech

Professor Powis also called for the NHS to drive better value from tech procurement, drawing comparisons with the NHS’s ability to negotiate favourable drug prices. A more strategic approach to tech investment could deliver better outcomes and cost efficiencies.

In a time where the NHS is being constantly told to live within its means and drive up productivity before receiving more funding, perhaps it’s time for tech suppliers to be held to account for extracting digital benefits. With such focus on short-term savings, the business cases for digital transformation are increasingly difficult to develop. It was suggested that suppliers who benefit from recurring funding from lucrative NHS contracts should take a more central role in ensuring trusts and systems are able to extract value from their solutions. Enhanced collaboration is surely good for business, good for the NHS, and good for patients.

True benefits of AI will be unlocked at system level

Dr Jess Morley of Yale University provided a refreshing dose of realism on AI in healthcare. In short, we have a long way to go before AI can transform our system.

The current impact of AI on NHS services is tiny, with significant limitations in infrastructure holding back its capability. As Dr Morley argued, “AI is a system level technology that allows us to redefine healthcare for the 21st century for modern populations, not simply address old problems with reskinned, age-old solutions.”

Healthcare is not just medicine, and the most important and impactful interventions (vaccines, testing, screening, etc) are made at the population level. In this context Dr Morley argued that the NHS is still only focusing AI on problems we already know how to solve, such as reading scans, rather than using it to transform systems. To harness AI’s full potential, it should be applied to developing population-level interventions.

Dr Morley went on to assert that our NHS approach to digital innovation is not yet centred on the right problems. The much-lauded potential of a single patient record across the UK, earmarked by many across the sector as the NHS’ key to future survival and sustainability, is “not a solution to modern problems”, and can never be paradigm-shifting as long as transformational thinking is based in silos.

What about social care?

One notable gap in the discussions for which I was present was the lack of progress in digital adoption within social care. There is a risk that, amid the current phase of NHS reform, social care could once again be left behind. Achieving digital parity between the NHS and social care remains a significant challenge and, if James Mackey’s new NHS England transition team is anything to go by, social care is going to be waiting a while before it receives the same attention for service transformation as the NHS.

Rewired 2025 underscored the need for both strategic investment and realistic expectations about what digital can achieve. The sector is moving towards a more mature understanding of tech’s role – not as a cure-all, but as a vital tool for improving both productivity and staff experience.

The role of digital nurses in transforming healthcare

By Integrated Care Journal

Judy Sealey, Clinical Solutions Specialist at Altera Digital and former nurse, health discusses the evolving role of digital nurses in health and care and explores why their roles are so important.

Digital nurses are registered nurses who already have a wealth of clinical experience and have developed expertise in using digital technologies to improve patient care. They bridge the gap between traditional nursing practices and the modern digital healthcare landscape, ensuring technology is effectively integrated into clinical workflows to standardise and streamline processes to improve patient safety and enhance their healthcare journey.

How and why did you make the transition into digital nursing?

Judy Sealey: I have worked in the NHS for over 15 years mostly in emergency department (ED) and critical care (ICU) nursing, I have also dabbled a bit in specialist fields like infection control, tissue viability and cardiology as I searched for my true passion. At one time, nursing education was where I thought my passion lay, however, it was while I was a clinical educator in an ICU that was using an electronic patient record (EPR) that my passion for digital healthcare technology blossomed. I started off by making suggestions for optimisations, becoming more involved in refining some of the workflows and ensuring that staff were adequately trained and comfortable using the system. This led me to a variety of other opportunities and experiences.

For the last thirteen or so years I have taken on several roles within this space. My greatest passion and desire is continuous improvement to healthcare delivery and the huge role digital systems plays in this. I know firsthand the challenges of excessive repetitive documentation, time wasted searching for patient paper records, inefficient and clunky digital tools and workflows. I leverage my nursing expertise and wealth of digital skills to advocate for more user-friendly designs, less complex workflows that will enhance patient care and reduce clinicians’ burden and burnout.

How do digital nurses affect patient care and outcomes?

JS: Nurses are the largest workforce in health and care and are therefore the primary users of digital systems. Digital nurses bring a unique skill set to the table. They leverage their clinical knowledge and expertise to enhance digital tools like EPRs, mobile health apps and telehealth platforms. By doing so, they ensure the system is user-friendly, practical, efficient and safe. For example, at Bolton NHS Foundation Trust, collaboration between digital and clinical teams has significantly improved patient safety through better EPR configuration and optimisations.

It sounds like collaboration is key. Can you talk a bit more about what happens when there’s a disconnect between clinical and digital teams?

JS: Unfortunately, that disconnect can often be traced to a lack of clinical input in the design and development of digital tools. Without clinical input, digital solutions may lack the context needed to be truly effective, which can disrupt workflows and compromise patient safety. That’s why digital nurses are essential – their input at every stage of the project ensures collaboration and bridges this gap, ensuring the creation of a system that enhances patient care and patient safety while improving efficiency.

How can healthcare systems better support digital nurses and foster collaboration?

JS: To truly support digital transformation, we need to invest in the digital nursing profession to ensure nurses have the necessary training, skills and dedicated time to be successful in this very important role. Digital nurses should be involved in all patient-facing digital projects, from planning, testing, training to delivery and optimisation. Nurses, being on the frontline, are uniquely positioned to identify service gaps and act on opportunities to make impactful changes.

NHS England’s National Chief Nursing Information Officer (CNIO) advocates for CNIOs in every NHS organisation. What’s your take on this?

JS: That’s a fantastic initiative. CNIOs are essential for every hospital because they play a vital role in ensuring the nursing perspective is represented in all aspects of digital health and care transformation. It underscores the importance of nursing leadership in driving the digital agenda and aligns with the goal of embedding digital nurses in all areas of care delivery. Crucially, the CNIO bridges that gap between clinical and digital teams, translating nursing needs into technical requirements and ensuring technology truly meets the needs of supporting patient care.

Looking ahead, what role do you see digital nurses playing in the future of health and care?

JS: As health and care continues to evolve, digital nurses will play a central role in driving the change in successfully navigating the future of digital healthcare. They will become more involved in the entire process, from selecting the most suitable digital solutions, to designing, implementing, testing, training and, indeed, optimising them. From EPR rollouts to telehealth projects and beyond, they’ll be key in ensuring that digital transformation truly meets the needs of frontline staff and continuously improves patient outcomes. Their involvement will drive innovation, improve patient safety and create efficiencies across the board.

Do you have any final thoughts for organisations looking to embrace the digital nursing profession?

JS: Yes, invest in your nursing workforce and be sure nursing curriculums include some aspect of digital training. Involve digital nurses in all patient-facing projects and make collaboration between clinical and digital teams a priority.

Without this, organisations risk digital transformations that compromise patient safety, hinder rather than support care and increase nurses’ workloads, which can contribute to burnout. An approach that embraces the involvement of digital nurses will drive effective inter-organisational collaboration that will help unlock the full potential of digital transformation and ensure it delivers real value to patients and staff alike.

Judy Seeley, Clinical Solutions Specialist, Altera Digital Health

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How technology can help reduce, rather than manage, healthcare demand

By Michelle Wheeler

By Michele Wheeler, International Health and Life Sciences Director at Lexica

Healthcare transformation is an ongoing focus in the UK. Economic growth and a healthy workforce are closely linked, with universal healthcare a critical factor.

Yet costs and demand continue to spiral. Living standards and medical innovation have extended lives, but it would be hard to argue that the benefits of better health are equally spread. While progress has been made across many disease areas, it has stalled in others, increasing the burden on the NHS.

The health service is forecast to have a deficit of £4.5 billion for 2024/25, needing to restrict spending by £8 billion to stay within budget and increase productivity by 2 per cent. It also needs to reduce a growing waiting list.

The problem with managing demand

To address this, successive governments have strived to reconfigure how healthcare is delivered over the years, all in an attempt to keep costs and demand contained. However, these endeavours have fallen short of their objectives. The reason? They fail to address the causes of increased demand, instead focusing on how to gatekeep and, ultimately, manage demand instead.

That may now be changing. Introduced in 2022, integrated care systems (ICSs) bring together health sector providers within a geographical area. Their mandate is to plan, shape, and deliver health services to meet their communities’ health needs. This decentralised, place-based model for healthcare is a step towards the holistic partnerships needed to reduce health inequalities.

Alongside other service providers, these partnerships can help design approaches and provisions that support individuals to focus more on early intervention and combat the risk of lost well-being and independence. More self-management, the use of remote technology to deliver care without overburdening the front line, and more reablement therapy are also key tenets.

The autumn statement signals that this place-based systems approach is here to stay, with significant fiscal support accelerating its pace and impact. This includes a £13.6 billion capital increase and a clear signal to invest in both technology and the estate required to increase capacity and performance.

The role of technology in addressing healthcare demand

The autumn statement also anticipates that advancements in MedTech, robotics, artificial intelligence and machine learning, and emerging technologies will be vital in reshaping efficient, affordable, and sustainable frontline clinical services. Critically, these can be achieved without compromising on equitable access and quality.

Of course, technology is already being deployed to improve healthcare delivery. More than half of patients with chronic diseases now accept remote healthcare via telemedicine, releasing millions of in-person appointments and substantial healthcare resource.

AI is shortening screening times for drugs to one day, offsetting shortages of specialists who interpret echocardiograms to diagnose heart disease, and speeding up diagnosis by between five to ten times. It is making hospital management systems smarter, with open, connected digital platforms for real-time visual management of operations, resources, patient flows, bed occupancy, and medical device use. It can help management make informed decisions needed to underpin performance and outcomes.

Hardware is also having a significant impact. In 2024, the UK Research and Innovation Future Flight Challenge funded the first national drone network in Scotland to transport essential medicines, blood, and other medical supplies, connecting hospitals, GPs, laboratories, and remote communities. Guy’s and St Thomas’ NHS Foundation Trust is currently trialling drone transport for blood samples to the labs, cutting transport time to two minutes and speeding up clinical decision-making.

Elsewhere, virtual reality glasses can provide clinical experts with the same view as being in the ambulance, support remote access to global surgical expertise for surgeon training, and, with robotics, allow remote surgery itself.

Even without the use of VR, the use of robotics is growing. The NHS conducted 56,600 robot-assisted surgical procedures in 2023, up 29 per cent on 2022.

Using technology and policy to tackle demand

All of these innovations offer better and safer access, less wasted time, and lower costs. However, to use them effectively, we need to understand the challenges in healthcare from multiple perspectives – patients, professionals, and management – and co-design care models that work. For patients, this means less time away from home and work to attend appointments, offering greater empowerment and less disruption to day-to-day life.

The focus on place, technology, and prevention should aid in this transformation. While efficiency, cost-effectiveness, and performance remain core principles in delivering services, the emphasis is now on “system” performance. That includes the optimal use of collective resources and leveraging technology to offset staff shortages, reduce dependency on high-cost facilities, and improve access to increasingly costly medical expertise and equipment.

A new watchword for healthcare demand

Costs are not going to stop rising, and without targeted, strategic intervention, neither will demand. The proper deployment of technology can dramatically increase the management and delivery of care, but at some point, the focus needs to shift to tackling why there is demand in the first place.

Rather than chasing solutions to alleviate the burden on the NHS, we should change the question to ‘How do we reduce our reliance on the need for social care services?’ Reducing demand, balanced with proactive prevention measures, is the new focus.

*Michelle Wheeler, International Health and Life Sciences Director, Lexica*

AI matches radiologists in detecting prostate cancer in NHS-backed multi-centre study

By Integrated Care Journal

A trial of Pi AI software, already in use in the NHS, has shown high accuracy in analysing MRI scans to distinguish clinically significant prostate cancer.

Hampshire Hospitals NHS Foundation Trust and Lucida Medical have announced the results of a five-year collaboration. Results from the PAIR-1 (Prostate AI Research – 1) study shows that the Pi AI software, now in use in NHS and European hospitals, performs as well as expert radiologists at detecting prostate cancer from magnetic resonance imagining (MRI) scans. Prostate cancer is the most common men’s cancer, leading to around 12,000 deaths in the UK every year.

PAIR-1 is a collaborative research study between eight NHS Trusts and Lucida Medical, approved by the NHS Health Research Authority and funded by the company. The study partners gathered historical data from over 2,000 patients and used this to develop, train and validate Pi, a software platform that uses artificial intelligence (AI) algorithms to analyse magnetic resonance imaging (MRI) scans to help distinguish clinically significant prostate cancer.

Dr Antony Rix, CEO and Co-Founder at Lucida Medical, highlights that “every year, over 50,000 men in the UK and 1.5 million men worldwide are diagnosed with prostate cancer. The disease may start slowly, but can be deadly if it’s not caught early, killing 12,000 men in the UK and 400,000 men around the world each year.”

An MRI scan is a key step to diagnose prostate cancer. The MRI is used to help identify patients at low risk who can avoid a painful, invasive biopsy, and to locate possible lesions so that higher-risk patients can have a targeted biopsy to maximise the chance of finding cancers that need treatment. Mark Hinton, CTO at Lucida Medical, explained: “Pi is medical device software that is CE approved for use in clinics. We developed Pi to automate key steps like outlining lesions and calculating risk scores, to assist radiologists to make these challenging decisions.”

Dr Francesco Giganti, Associate Professor of Radiology at University College London, presents the results of the PAIR-1 study today at the European Congress of Radiology (ECR) in Vienna. He noted that “this research found that Pi is non-inferior to multidisciplinary team-supported radiologists across a validation set of sequential cases from 6 NHS hospitals with a wide range of MRI scanner types. This is the first time that a commercial AI for prostate MRI has been tested on diverse, real-world data.”

Dr Aarti Shah, Consultant Radiologist at Hampshire Hospitals NHS Foundation Trust, was Chief Investigator on the study. She highlighted that “analysing MRI scans is a time-consuming task for expert radiologists, and there are too few of us in the UK and many other countries. Pi offers exciting potential as an aid to help reporting radiologists in triaging workloads as well as producing visual reports to aid contouring of lesions for biopsy.”

“We founded Lucida Medical with a shared vision to use AI to transform the diagnosis of cancer. Five years on, it is wonderful to see this working in practice and recognised by a major journal and conference,” added Prof Evis Sala, Co-Founder of Lucida Medical, Professor of Radiology at the Università Cattolica del Sacro Cuore and Chair of Department of Diagnostic Imaging and Radiotherapy at the Policlinico Universitario A. Gemelli, IRCCS in Rome.

Pi is available for use in the UK and Europe to support the diagnosis of prostate cancer.

At ECR 2025, Dr Giganti’s presentation, AI-powered prostate cancer detection: a multi-centre, multi-scanner validation study, took place in session CTiR 16 – Clinical Trials in Radiology: spotlight, in Room N on Feb 28 at 16.00 CET. The research is also published in European Radiology at https://doi.org/10.1007/s00330-024-11323-0.

New national data shows improved respiratory outcomes with digital therapeutics

By Integrated Care Journal

Toolkit has driven significant reductions in reliever inhaler usage among asthma and COPD users, with biggest improvements seen in socioeconomically deprived areas.

A respiratory digital therapeutics toolkit is improving outcomes and reducing health inequalities for people with asthma and chronic obstructive pulmonary disease (COPD) in Wales.

The toolkit, which has reached full adoption across 100 per cent of GP practices and hospitals in NHS Wales, is providing a personalised, digital care plan that empowers hundreds of thousands of people to take control of their condition and stay well in the community.

Professor Simon Barry, National Respiratory Clinical Lead at NHS Wales (2016-2024), explained the impact the toolkit is having at a national scale: “Overall, we’re seeing patients showing a significant improvement in wellness scores in as little as three months. The biggest improvement is among patients using the asthma app for four months or more who are seeing their wellness score increase by 41 per cent. Users in socioeconomically deprived areas, and young people are seeing the greatest improvements in their Royal College of Physicians (RCP) 3-questions score.”

In addition, the toolkit has driven significant reductions in the use of reliever inhalers, an important marker of disease control:

Asthma app users have a statistically significant improvement in their reliever inhaler usage, with 35 per cent having improved reliever use within one year, and 20 per cent of patients going from some reliever use to no reliever use.
COPD app users’ reliever use improved after one year, with the percentage of users making use of relievers decreasing substantially from 67 per cent to 38 per cent.
Patients using the app are 42 per cent more likely to be using Dry Powder Inhalers (DPIs) than the general population, accelerating the NHS Wales priority to increase the proportion of low global-warming potential inhalers (DPIs) used vs pressurised Metered Dose Inhalers
Improvements are particularly pronounced in socioeconomically deprived areas.

The successful rollout has enabled many more outcome improvements, including reductions in GP visits and A&E admissions to alleviate pressure on overstretched services. The Respiratory Health Improvement Group (RHIG) in Wales will present new national datasets at an upcoming event, showcasing years of progress and population-level improvements.

Chris Davies, Principal and CEO at The Institute of Clinical Science and Technology, said: “Unfortunately, chronic diseases are common and expensive. Right now, £7 in every £10 of UK health and social expenditure goes toward chronic disease management, so it’s time for a new approach. We are delighted to work alongside NHS Wales in transitioning from traditional healthcare delivery to a patient-driven, digital-first model that eases the pressure on the healthcare system and future-proofs the NHS. This approach enables individuals across large populations to have better agency, better empowerment and more confidence when they navigate their health.”

Co-produced with patients, policymakers and clinical experts from within stakeholder groups, including the National Respiratory Audit Programme (NRAP), Asthma and Lung UK (ALUK), NHS Wales and NHS England, the toolkit uses the proven COM-B (Capability, Opportunity, Motivation-Behaviour) model to drive behaviour change. The app provides tailored support, including a personalised care plan and progress tracking, to help individuals manage their health.

The toolkit is expanding to other disease groups, offering a scalable model to meet rising care demand without overburdening healthcare professionals.

Members of the Respiratory Health Improvement Group (RHIG) in Wales will outline how the successful outcomes were achieved across Wales during a webinar on 13 March, chaired by Dr Lia Ali, Clinical Advisor, NHS Transformation Directorate for NHS England. Join the National Transformation of Respiratory Outcomes through Digital Therapeutics event by registering to attend here.