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After the publication of Lord Darzi’s rapid review of the health service in September, PM Keir Starmer pledged to move “from an analogue to a digital NHS” to address a service in disrepair, with outdated IT and low productivity. But will an increased focus and larger investment in digital transformation guarantee the improvements we desperately need? Or do we first need to ask searching questions? In his recent keynote at the Imprivata User Conference James Freed,