The NHS 10 Year Health Plan arrived in July 2025 with a clear and compelling promise. Three radical shifts: hospital to community, sickness to prevention, and analogue to digital. The language was bold. The investment, at least on paper, was significant. And for those of us who work at the intersection of digital ambition and system reality, there was a moment, however brief, of genuine optimism. That moment deserves scrutiny. Because bold language and good intent have never
