Given the time of recording (31st March 2025), Jacob begins by asking David to revisit the early days of COVID-19, leading to a behind-the-scenes look at how the NHS in London mobilised. David describes the relentless rhythm of coordination calls across the capital, and reflects on the pressure of decision-making in the face of uncertainty. He recalls the pride he felt witnessing the commitment and capability of NHS teams responding in real time.
David shares his personal experiences with digital health services - from ordering medication online to using digital triage systems (like Accurx’s) - and reflects on the broader implications of digital transformation for healthcare delivery. He outlines the potential of digital tools to improve access, reduce unnecessary appointments, and support more proactive, patient-centered care.
At the heart of David’s leadership philosophy is a commitment to being patient- and citizen-focused, optimistic in outlook, and decisive in action. He speaks about the importance of leading with humility, listening carefully, and supporting others to grow.
Balancing day-to-day operational pressures with long-term transformation is a recurring challenge David reflects on. He discusses the importance of strong processes, clear governance, and a transparent culture to support decision-making and accountability. He also reflects on the opportunity that lies ahead - especially through digital innovation - to reimagine access, efficiency, and equity in care delivery.
David ends the conversation with optimism. He sees a future shaped by empowered patients, evidence-based practice, and the thoughtful application of technology that prioritises both human connection and operational excellence. For the NHS to thrive, he argues, it must remain rooted in its values while boldly embracing change.
If you’re an aspiring, upcoming or current leader in the NHS, this is not one to miss!