đź“… 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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