The £480m Palantir-led platform — the largest single test of the platform hypothesis in the NHS, and what its adoption difficulties reveal about the Complexity Challenges.

The strategic arc from 2014 to the present — escalating ambition, £8.1bn in investment, and a persistent gap between targets and delivery.

Why digital change in health and social care consistently fails to deliver on its promise — and what the evidence says about when it succeeds.