📅 Daily Note: September 9, 2025

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The hidden fundamentals of digital transformation in healthcare: how to roll out nationally in a local system – by Jane Maber on the dxw blog:

There’s no question that the technical challenge is real. Designing digital services that work for a national screening programme in a local environment isn’t easy.  You have to integrate with diverse existing systems, handle local variation and consider patient safety.  Not to mention managing, and often decommissioning, legacy systems alongside.

But what’s become increasingly clear is that technology alone doesn’t drive transformation. As more decision-making power is devolved to Integrated Care Boards (ICBs), national teams can’t assume one-size-fits-all delivery. Success is really all about the people impacted by the new product – the admin and clinical staff who use it, and the screening participants who experience it.

Change doesn’t land just because it’s technically sound. Or even operationally sound for that matter.  It lands because people trust it, understand it, and feel part of it.  So development needs to be done in partnership, and the quality of the relationship with those partners is critical.

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I stopped sending out my email newsletter this year – it lost its place on my todo list in the madness of moving house and so on.

However, am minded to kick it off again, but wanted to move away from Substack for a variety of reasons including nazi-friendliness and increasingly user hostile behaviour.

So, taking some advice Steph gave me a while ago, I’ve moved to Email Octopus, who seem very friendly and the system is easy enough to use. I’ve also changed it to be Localise branded – I’m terrible about marketing my company so thought this might be an easy way of reminding people how I earn a living.

If you’re curious, you can sign up on the landing page.

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Have updated my about page which was very long in the tooth!

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🏡 Moving house

Well, we have moved. It wasn’t an entirely joyful process, but we got everything shifted on the Friday 6th and by teatime Saturday most things were in their rightful places. It’s a bit galling because this is very much a temporary, interim, move, until the house we really want to live in becomes available. So, we can’t get too comfy. #


We were without broadband until last Friday (13th), and there’s no 4g signal on my phone in the house. The only network with any coverage at all round here is 3, so I bought a SIM on moving day, whacked it into a venerable mifi type unit and we tried to all to work from that for a week. It was slow going, and the application that didn’t cope at all was MS Teams, interestingly. #


I went to find somewhere with wifi to work one afternoon. Managed to find myself in the one Costa in the world with worse wifi than the house did at that time. #


We’ve moved to West Winch, a small village in Norfolk, just to the south of King’s Lynn. Funnily enough, King’s Lynn is where I started my local government career⏈, as a housing benefits assessor back in 2003. The online process to sign up for council tax worked a treat, so well done, Borough Council of King’s Lynn & West Norfolk! #


The other weird thing is that, like Lloyd’s⏈, this blog is 20 years old this year. And when I started it, I was living in… King’s Lynn. The circle closes. #

Link roundup

I find this stuff so you don’t have to:

Link roundup

I find this stuff so you don’t have to: