
Hey healthtech fans.
This oneās coming to you a bit early - Iām on holiday this week so have some serious relaxing to do this afternoon. A quick announcement before we beginā¦

If youāre in Manchester on 25th November evening, Neko Health are offering a tour of their new clinic and a private drinks reception with the Neko C-suite for just 20 people. Healthcare and policy leaders take priority, but all are welcome to apply.
Get in quickly (today, ideally). These will go, fast. ā
And in a news week dominated by big tech:
the NVIDIA CEO memes are completely out of control
Microsoft reminded us all what healthcare could look like if any of the US tech/AI companies weāre dependent on switch off
Palantir does a Palantir
some cool events to sign up to so make sure you get to the bottom
⦠and more
With all the talk of sovereign AI and Microsoft going down, have a listen to this for a deep diveā¦
Enjoy.
James
News Bites š„Ŗ
š„ļø Microsoft Went Down & The NHS Went With It: This should be a massive warning to everyone about just how reliant we are on a few big companies. Itās what I spoke to Jack about on the podcast (see link above) in the context of Sovereign AI. Unless youāre under a rock, youāll know a failed server health check knocked out Outlook, Teams and Copilot across >70 countries the other day. The NHS was reportedly the hardest-hit health system in Europe as we run the entire workforce on Microsoft. GP surgeries and pharmacies lost online booking and contact tools, trusts warned of slower responses, in Australia, some sites went back to paper prescriptions. This is a petrifying definition of āsingle point of failure.ā Also, while weāre at it with big tech⦠of all the departments for NVIDIA CEO Jenson to allegedly get into bed with⦠the VP of healthcare?? Come on man, give us a break in this sector, we need some good news.

š Palantir Wanted Your GP Records. It Asked a Minister on WhatsApp: Remember when the government promised GP data wouldnāt be part of the national platform? Palantir does. And it doesnāt seem keen. WhatsApp messages released under FOI show Palantir UK boss Louis Mosley pushing then health minister Zubir Ahmed in February to bring GP records into the Federated Data Platform. He said the logic of joining up primary and secondary care data was āunarguableā (kind of fair) and that ministers would need to āget ahead ofā opposition from doctors (also fair, but lolz at the āplease sortā tone). To be absolutely clear, GP data definitely sits outside Palantirās Ā£330m NHS England contract. The BMA warns of scope creep and DHSC declined to comment š¤·š»āāļø
š Oura Just Spent $625m Putting a Doctor in Your Ring: Another sign that wearable companies are becoming entire healthcare systems. Ouraās buying Counsel Health, an AI-native primary care company, for $625m. Essentially, you chat to Counselās AI, which reads your records, guidelines and biometric data, and at any point you can bring in a doctor who can diagnose, prescribe and refer. The thing is⦠and I have to be careful with language not to activate some highly paid lawyers here⦠but to the best of my knowledge, Oura still says the ring isnāt a medical device. However, it now sits one tap away from a doctor who can write you a prescription. Now, Iām not saying the doctor is influenced by the signals from the wearables when writing the prescriptions because that would surely make it a medical device? But would you say thatās never happened? Isnāt that the point here? Are we not skirting around the idea that wearable data helps infer correct diagnosis? š¤·š»āāļø
š NHS Patients Could Get New Drugs in Six Months. But thereās a catch: Right now, a promising new drug gets assessed by NICE before patients can have it, and again after the real-world evidence comes in. The new SMART pilot (Streamlined Managed Access Route for Therapies - of course it is) wants to shorten the first step from about a year to 6 months. Theyāre careful to say 6 months is a target rather than promising anything, and that āspeeding up access does not mean lowering standards.ā Fair enough. But can NICE say no to a drug patients are already taking? Anyone who lived through the Cancer Drugs Fund years knows how painful that can get.
š Google Partners with āPatients Know Bestā For Your GP Record: Huge fan of PKB and their founder Mohammad, who I had on the podcast a while ago, so this is interesting⦠users in England can now sync their NHS records from GP practices and a growing number of hospitals, via PKB. That means your GP letters sitting next to your sleep score and glucose graph, in an app with an AI coach. Brilliant for the patient who wants one place for everything and puts the pressure on the NHS app to provide utility. What will GPs say when you bring the Google Health AI coachās interpretation to your next appointment? Are we looking at the future?
š£ļø The MHRA and NICE Agree to Stop Asking Patients the Same Thing Twice: The MHRA has published its Patient and Public Involvement and Engagement Plan for 2026 to 2030. Ironically a far-from-engaging name and inexplicably not abbreviated to The PAPIE Plan, but it does important work to be aware of in healthtech. Itās building communities to shape how benefits and risks are weighed, involve patients in clearer medicines information, and work with NICE so companies stop submitting the same patient involvement evidence twice. Their last review said patients felt they didnāt hear what happened to their input, so better feedback is the order of the day. Judge it on whether patients notice the difference.
And finallyā¦
š Who Decided What āHealthyā Means in Your App? The Lancet Has Questions: Interesting read from The Lancet Digital Health, which argues that most health tech is built on a white, Western idea of the patient (donāt know who would argue against that). The authors turn it into a practical checklist of justice questions for each stage of the learning health system loop, where bias compounds.

What to Listen to š
Oura says it isnāt a jewellery company, and after this week Iām inclined to believe it. In this chat from June (before the IPO got shelved), CEO Tom Hale tells Imran Amed that womenās health flipped Ouraās customer base to mostly female, and that 11% of wearers are medical professionals. He also says (everyoneās already got a supercomputer ⦠on their body), which reads a bit differently now that his company owns a doctor too.
If the WhatsApps left you wondering how Palantir ended up with NHS data in the first place, this is your catch-up. Investigative journalist Lucas Amin explains how the company won its Ā£330m contract and what happened once the software was rolled out. It comes from the same Guardian that broke this weekās messages (so expect a raised eyebrow or two).
Events š
The hidden economics of growing healthcare businesses (Online)
š
Wednesday 2nd December, 14:00-15:00
š Online
Whether youāre building a healthcare business, backing one or advising one, thereās a question that comes up sooner or later⦠why does growth leave margins looking worse? Simplifying can strip out the revenue, so what do you do? Weāre hosting this one with Cority Meddbase. Youāll hear from a founder whoās scaled a provider, an M&A adviser who values health businesses and the Meddbase team. Theyāll cover where complexity pays, where systems eat profit and what investors look for at valuation. Useful for anyone interested in the business of healthcare. Essential for owners, operators, investors and advisers in private healthcare. Request your place early, as itās approval-only.
šļø (Is) Neighbourhood Working? An evening with Dr Claire Fuller
š
Thursday 26th November, 18:30ā20:30
š š¬š§ London (announced after you register)
If you want to understand where primary care is heading, this is the one. Dr Claire Fuller wrote the blueprint that put integrated neighbourhood teams at the heart of NHS policy, and she now leads Neighbourhood Care nationally. Sheās joining Animaās Dr Ben Walker for an honest fireside on whatās working, what isnāt yet, and what comes next. After, thereās a Q&A, with food and drinks to follow. Places are limited and by approval only, so submit your request now.
š¤ Newtonās Tree Presents: Agentic AI in Healthcare
š
Thursday 26th November, 16:00ā20:00
š š¬š§ Hale House, Portland Place, London
A chatbot answers your question. An agent goes off and actually does something, inside the systems a hospital runs on. Newtonās Tree want to dissect this gap in person, after its lunchtime webinar earlier this month. Thereās a keynote, a real story of agentic AI already working in the NHS, and an interactive expert panel, then drinks and networking. Itās aimed at healthcare leaders weighing up whether to let an agent loose in their organisation.
London Life Sciences Week
šļø 15ā20th Nov
š š¬š§ Venues across central London.
A whole week of life sciences, with 100+ events and (apparently) 1,300+ investors milling around London. If an AI lab buying a one-person biotech has you wondering where the money goes next, this is the week to find out over a lanyard and a lukewarm coffee. Pick a few from the programme and pace yourself (trust me, ex-HLTH events girl here).
Visit the SomX events page or subscribe to SomXās events roundup for everything else.
Opportunities šµļøāāļø
š Epidemiologist / Health Data Scientist, Bennett Institute (Oxford). The Bennett Instituteās platform runs analysis across the health records of 55 million patients, and researchersā code goes to the data instead of the data going anywhere. Youād work on research like vaccine safety and trends in medicines use, and help outside researchers use the platform.
šø Director, Head of Global PR & Communications, Flo Health (London). Calling all my fellow comms peoples with a few years under their belt. Flo is the worldās top health and fitness app (80M+ monthly users, 7M paying), and it wants someone to run its PR worldwide, from product launches to talking journalists through the research.
šµļø Forward Deployed Software Engineer, New Grad - UK Government, Palantir (London). If youād rather be on the inside of the WhatsApp group, Palantir is hiring graduates to embed with UK government customers. Expect 25ā50% travel and a security clearance, and you need to graduate by 2027.
š£ļø Opportunities for patients and the public to be involved in the work of the MHRA. If the MHRAās new plan is going to mean anything, it needs actual patients in the room. The Community is open to patients, carers and patient organisations who want a say in how medicines and devices are regulated, through meetings, surveys and feedback on drafts. The catch is that anyone working in healthcare, public health or the medicines and devices industry canāt apply, which rules out most of you reading this. Forward it to your mum or the patient group you keep meaning to support.
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See you next week, Pigeon fans āš¼

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