Alderwick and Dunn note, as does Ara Darzi himself, that his review was commissioned to focus on problems, not solutions.1 But even here, Oliver observes, it falls short giving no more than a “tilt towards technology.”2 Of 163 pages, only seven are given over to just three technology portfolio topics—digital health, scanning, and artificial intelligence (AI). And the report notes that they were selected because of their potential to increase productivity—important, but not sufficient.This is nothing new. The NHS Five Year Forward View (2014) and Next Steps (2017) both failed to identify technological innovations as the dominant force. But it is these that will determine, to a very high degree, the way that clinicians work in the future, as well as indicating their training needs now. The follow-on is that the organisational shape of NHS service delivery should be encouraged to emerge organically around the adoption and nurture of new…
