The case for NHS-owned, open software
From Digital Health Unplugged by digitalhealth
February 24, 2026 · 44 min · Episode 116
About this episode
Marcus Baw discusses the need for NHS to rethink its technology strategy towards open source and in-house software development.
In the latest episode of Digital Health Unplugged, Marcus Baw calls for a rethink of NHS technology strategy, arguing that the service has drifted away from open source and in-house capability. Baw, a GP, clinical safety officer, clinical informatician and software engineer, criticises NHS England’s quiet removal of its open source policy webpages, dismissing the explanation that this was part of a routine website clean-up and that the NHS is now following government service standards. He also makes a strong case for in-sourcing software development, claiming that outsourcing increases costs and weakens the NHS’s technical capability. Baw also tells host Jordan Sollof, that the federated data platform is not delivering against its original ambitions and while adoption is growing, and expressed scepticism that changes at the top of NHS England would automatically lead to reform. Looking ahead, he says the NHS should consider building its own cloud infrastructure through NHS-based data centres to reduce reliance on commercial providers, lower compliance burdens and reuse waste heat to power hospital estates. Guest: Marcus Baw, GP, clinical safety officer, clinical informatician…
People in this episode
Host: Jordan Sollof
Guest: Marcus Baw
Topics covered
- NHS technology strategy
- open source
- software development
- data platform
- cloud infrastructure
Keywords
- NHS
- open source
- software development
- cloud infrastructure
- data platform
- Marcus Baw
- Jordan Sollof
Mentioned in this episode
Organizations: NHS, NHS England, NHS-based data centres, government
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