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Roadmap or roadblock?

NHS leaders told us the truth about digital transformation.

Only 2% think it’s achievable…
The report is built entirely from primary research with senior NHS leaders. It covers where digital ambition and delivery are colliding, why legacy systems still win the budget fight, what’s really slowing down patient communications.

 

This isn’t recycled commentary. It’s what your peers actually said, in their own words. It lands as the NHS pushes ahead with its 10-Year Health Plan reforms.

 

Working with over 75% of NHS Trusts nationwide, gave us direct access to the people living reform day-to-day.  It’s not a typo it’s the headline finding: only 2% think their roadmap is achievable.

 

The answers are uncomfortable. They’re also free to read.

Find out what NHS leaders really think

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What is The NHS Digital Reality report?

 

NHS leaders told us the truth about digital transformation. Only 2% think it’s achievable.
The NHS’s 10-Year Health Plan sets a bold digital ambition. Hospital to community. Treatment to prevention. Analogue to digital.

Reform only works if information moves safely across every step of that journey.

What NHS leaders told us

2% believe:
their digital roadmap is fully achievable in three years.

8% believe:
the NHS has enough digital leadership to deliver its reform ambitions.

36% say:
digitisation is moving, but too slowly to meet expectations.

27% admit:
if your technology needs a workaround, it isn’t working

24% say:
funding, not ambition, is what’s really blocking progress.

It’s a 2026 survey of senior NHS leaders and CIOs, run by Restore Information Management with Health Tech News. It reveals what NHS organisations really think about digital transformation, including funding, leadership and legacy system barriers.

 

The results show that successful digitisation depends on how effectively information moves through the patient pathway – and that should be a prime focus as we takethe next step on the journey.

For the NHS we:

22+

Million

Store over 22 million files for the NHS

20+

Thousand

Deliver over 20,000 files a day

30+

Years

Working with the NHS for over 30 years

1+

Billion

Medical record images scanned

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