
Digital transformation in the NHS: a reference guide
11 December 2025
Introduction
The NHS is undergoing significant digital transformation, driven by the ambitions set out in the government’s 10 Year Health Plan (10YHP). A central priority is the shift from analogue to digital, aiming to modernise services, improve patient outcomes and enable more efficient data-driven care. This includes the rollout of digital tools – including artificial intelligence (AI) – platforms and infrastructure to support integrated care, population health management and personalised services at a local level.
In parallel, the new model integrated care board (ICB) and region blueprints have redefined how digital leadership is structured across the system. Under this model, digital transformation is no longer the sole responsibility of chief digital officers or IT departments. Instead, it is expected to be embedded across all roles and functions, with ICBs as strategic commissioners responsible for oversight and providers increasingly responsible for digital delivery, creating a more distributed model of leadership.
While the 10YHP sets a bold vision, many NHS organisations are still on their journey toward digital maturity – creating a valuable opportunity for leadership and innovation. Building a shared understanding of digital concepts and their relevance to everyday roles will be key to unlocking the full potential of transformation. With the right guidance and common language, systems can align more effectively and accelerate meaningful change.
About this guide
To support the shift from analogue to digital, this guide unpacks the fundamentals of digital transformation in the NHS. It is intended for all leaders across the NHS and aims to:
- demystify key concepts and clarify terminology in digital health
- explain the latest digital health policy developments
- outline challenges facing digital transformation and support leaders and managers to embed digital thinking into their work
- spotlight case studies which align with national priorities, embrace innovation and deliver on local population health needs
Future guides will cover life sciences and innovation in detail. This publication touches on parts of these topics that are most relevant to the frontline digital functions of the NHS.