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Powered by People
It’s now been six months since I stepped into the world of digital healthcare and began working closely with the NHS. In that short time, one thing has become abundantly clear to me: this sector is powered by people. Dedicated, purpose driven, hardworking people who genuinely want to improve healthcare for everyone. And although healthcare is often described as the biggest industry in the world, what has surprised me most is how small and connected it feels in reality. Relationships matter. Community matters. And there is a shared sense of purpose that is rare and inspiring. The refreshed NHS 10 Year Health Plan sets out three major system shifts: moving care from hospitals into communities
moving from analogue to digital
shifting the focus from sickness to prevention These ambitions reflect exactly what I have observed across the system. The plan makes it clear that the NHS must embark on radical change to remain sustainable. It calls for reimagining how care is delivered, empowering patients, and using technology to predict and prevent ill health rather than simply treat it.
NHS England leaders have emphasised that digital transformation is not about buying more systems but about building connected, interoperable foundations that actually enable better and safer care. That message resonates strongly with what I have seen so far. Technology on its own doesn’t create change; people do. The shift to digital maturity will only succeed if culture, confidence and ways of working evolve alongside the tools.
And a necessary disclaimer: I’m not qualified to make bold statements about clinical practice, nor do I have decades of NHS experience. I’m still new to the sector. But what my background in the Army, Big 4 consulting, and now a smaller advisory environment has taught me, is how people respond to challenge, how organisations adapt and how culture drives or blocks transformation. Those are the lenses through which I interpret what I see.
One of the surprises of joining digital health has been the cultural contrast between public and private sectors. Having been institutionalised earlier in my career, the private sector once seemed intimidating. I quickly came to recognise its value: pace, innovation and the business edge needed to adapt in a world that is changing faster than ever. Yet parts of the system remain hesitant about private sector ideas or the role of major technology companies. I understand the caution, but I also see opportunity. People already rely on consumer technology every day. Wearables, apps and connected devices have enormous potential to support prevention, one of the key pillars of the NHS 10 Year Plan. Embracing what citizens already use could accelerate progress.
My reflections lead me to one overarching question: Is the system culturally ready for the transformation it is striving for? Before we get into data platforms, governance frameworks or digital architecture, we may need to begin with people. Psychological safety. Mindset shifts. Collaboration. Openness to learning from both the public sector and private innovators. The plan speaks to the need for major change, but that change will not be carried by technology alone. It will be carried by people.
Despite the complexity and the challenges, these six months have been energising, enjoyable and full of purpose. I feel genuinely fortunate to be working in a space where the mission truly matters. A huge thank you to SmartCo Future Health for an amazing experience so far. I’m excited for what the next chapter brings.
About Adam Libbey
Adam Libbey is the Director of Operations and an experienced people and change practitioner whose career spans the Army, Big 4 consulting, and a growing advisory environment. Across these settings, he has developed a strong understanding of how people respond to challenge, how organisations adapt and how culture can enable or block transformation. He brings a calm, practical and people‑centred approach to helping teams navigate change and deliver meaningful progress.
About SmartCo Future Health
SmartCo Future Health is an award-winning consultancy shaping the future of healthcare. We bring a best-in-class team and future-focused approach; empowering clients, programmes and partners. We are a people first business, prioritising employee well-being, flexible working and equal opportunities for all.
