What we do

NHSX is leading the largest digital health and social care transformation programme in the world. With investment of more than £1 billion pounds a year nationally and a significant additional spend locally, NHSX has been created to give staff and citizens the technology they need.

NHSX will deliver the Health Secretary’s Tech Vision, building on the NHS Long Term Plan. We will speed up the digital transformation of the NHS and social care. We have set ourselves five missions, which are focused on how we can make things better for patients and staff. These are to:

  • reduce the burden on our workforce, so they can focus on delivering care
  • give people the tools to access information and services directly, so they can best take charge of their own health and care
  • ensure information about people’s health and care can be safely accessed, wherever it is needed
  • aid the improvement of safety across health and care systems
  • improve health and care productivity with digital technology

Our responsibilities

Coordination and consistency

  • Setting national policy for NHS technology, digital and data (including data-sharing and transparency)
  • Setting the strategy, developing best practice guidance, coordinating activities across the arms-length bodies and national or central programmes
  • Becoming a single point of accountability for national digital transformation programmes and the oversight of NHS Digital

Setting standards

  • Developing, agreeing and mandating clear standards (for example, on user experience, open standards, information governance, and open source) for the use of technology in the NHS
  • Making sure that NHS systems become interoperable and that the NHS can incorporate the latest innovations without breaking the technical plumbing underneath

Driving implementation

  • Helping to improve clinical care by delivering agile, user-focused projects
  • Developing digital care pathways and solving administrative challenges across the NHS
  • Delivering APIs and documentation to empower developers and data analysts across the NHS and the health tech industry
  • Driving digital and tech maturity in local NHS organisations

Radical innovation

  • Supporting the use of new, emergent and effective technologies by the NHS, both by working with industry and through its own prototyping and development

Common technologies and services

  • Making sure that common technologies and services, including the NHS App, are designed so that trusts and surgeries don’t have to reinvent the wheel each time
  • Making sure that that all source code is open by default so that anyone who wants to write code for the NHS can see what we need

Reforming procurement

  • Helping the NHS buy the right technology through the application of technology standards, streamlined spend controls and new procurement frameworks that support our standards

Cyber policy

  • Setting national strategy and mandating cyber security standards, so that NHS and social care systems have security designed in from the start

Digital capability

  • Championing and developing digital training, skills and culture so our staff are digital-ready


  • Delivering an efficient process for technology spend, domain name management, and website security
  • Reviewing the effectiveness of governance arrangements regularly

Annual report

Read the NHSX annual report for 2020 to 2021.