June 5th, 2025

Episode One - Sir David Sloman

In our first ever episode of the Unprescribed podcast, hosted by Jacob Haddad, Accurx CEO, we are delighted to welcome Sir David Sloman, former COO of NHS England. David has been a prominent figure in the NHS over the past 40 years, and in this episode he shares his extensive and extraordinary journey through multiple leadership roles and a public health crisis. Drawing on decades of experience, David shares candid insights on resilience, the future of the NHS, and how to lead with both clarity and compassion.

Reflecting on the COVID-19 pandemic

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.

The impact of digital transformation

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.

Leadership principles and mentorship

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.

Challenges and opportunities

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.

The future of the NHS

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!

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