Healthcare services are under pressure. Rising costs, economic uncertainty, and ongoing reforms mean the system must do more with less. Integrated Care Boards (ICBs) are being reshaped with the expectation of halving running costs, cutting bureaucracy, and streamlining operations — all while improving patient outcomes.
The ambition is bold, but the path forward is clear: digital solutions will be integral to turning the NHS 10 year vision into tangible, real-world impact.
Reece Donovan is CEO at Mayden and is passionate about technology, software, people and data, and how together, these drive positive change and experiences. Tom Scott, our CRO, thrives on building strong partnerships and is passionate about how innovative technology can boost productivity and improve clinical outcomes. As a company, we are on a mission to help services unlock these benefits with our portfolio of best-of-breed software solutions, designed to transform health and care.
From budgets to burnout: understanding pressures
ICBs are facing significant deficits. “There’s currently a lot of uncertainty,” Reece says, reflecting on conversations with senior NHS leaders at the Healthcare Partnership Network (HPN) in June. “People aren’t sure what funding will be available to support services now or in the future.”
“When services want to procure new tools or applications, they’re unsure both if the money exists and who to approach under the ongoing reforms, so it can feel like progress has stalled,” he adds.
“Exactly,” Tom agrees. “Services are facing a wave of pressure from convergence consolidation, and there’s a lot of uncertainty about where to go to access funding. The government has set out the Fit for the Future: 10 Year Health Plan for England, which provides direction, but we haven’t yet seen the policies and funding to support it”, he says. “Right now, what we have is more of a NHS 10 year vision than a fully actionable plan”, Reece concurs.
We know healthcare services are stretched. Rising waitlists, performance targets, and public demand for quicker access are all adding strain. “When we spoke to senior leaders at HPN,” Reece continues, “the biggest pressure of all was administrative.” Common consensus was that 40–50% of clinician time is spent on paperwork.
“There’s a real need for tools that can drive efficiency and reduce documentation and admin burden,” Reece says. “But when you couple that with funding uncertainties, even though solutions exist and there’s a genuine desire to adopt them, it doesn’t always mean services are able to implement them.”
Funding isn’t the only challenge services are facing, Reece acknowledges. Staff availability, stability, and burnout compound the pressures, creating a difficult environment to effect change.
“Although services are keen for reform and willing to shift left, it still begs the question: how?” Tom continues. “How do services streamline care while managing increasing waitlists and the demands on my service? How do I redesign delivery alongside staff shortages and burnout, while enhancing outcomes under all the pressures we face today?”