The rollout of Palantir-built federated data platforms across the NHS has been met with controversy. One region stands out as an anomaly: Greater Manchester's integrated care board (ICB), which has opted against using this overseas technology, instead choosing to develop its own homegrown infrastructure. This decision is a testament to the region's bold conviction and collaborative approach, which has taken nine years to cultivate.
Greater Manchester's ICB has worked closely with British universities, NHS clinicians, and local tech firms to build a system it believes offers significant advantages over commercial alternatives. The region's experience serves as a compelling example of what can be achieved when the NHS invests in domestic capability. With the increasing reliance on digital platforms, cloud infrastructure, artificial intelligence systems, and sophisticated data management in healthcare, this approach highlights the feasibility and effectiveness of building a sovereign health data infrastructure within the UK.
Dr Devan Moodley, CEO of Health Connect Global, has expressed concern about the NHS's engagement with overseas technology giants, particularly those based in the US. While acknowledging that this is not an anti-American stance, he advocates for a more balanced approach to national security and resilience in critical infrastructure. He points out that if Greater Manchester can develop and implement a high-performing sovereign health data infrastructure, it should be considered as a model for the rest of the country.
The implications for the NHS are significant. The service is under pressure to modernise its data systems to improve patient care, streamline operations, and enhance research capabilities. According to NHS England, improved data sharing and analytics are crucial for delivering personalised care and preventative health measures, as recommended by NICE guidelines on evidence-based practice.
This discussion also has far-reaching economic implications, highlighting the need for investment in UK companies and expertise. By fostering domestic technology development, the UK could secure its critical health data infrastructure while stimulating job creation and innovation within its own borders. The success of Greater Manchester's model provides a compelling case study for policymakers to consider when shaping future national health technology strategies.