HealthTech Hour

Steve Roest

HealthTech Hour is a leading healthtech podcast exploring the people and technologies transforming healthcare. Each episode features conversations with healthtech founders, healthcare leaders, clinicians, investors and innovators building the future of digital health, AI, diagnostics, medtech and healthcare innovation. Whether you're a founder, investor, healthcare professional or simply passionate about health technology, HealthTech Hour brings insights from the people shaping the future of healthcare. 🌍 Listeners in over 50 countries. 🎙 New episode bi-weekly. 🗣 Hosted by Steve Roest.

  1. 15h ago

    The Truth About Your Health Data - with Matthew Whitty (MDClone, ex-NHS England)

    Matthew Whitty is the former Director of Innovation, Research and Life Sciences at NHS England and now Director of Commercial Partnerships at MDClone, a global healthcare data platform. Combining senior NHS leadership with frontline experience in healthcare data and AI, he is an expert on NHS data strategy, safe AI adoption and how health systems can unlock the value of data while protecting patiWho actually owns your health data? Most people assume there's a single patient record sitting somewhere in the NHS. There isn't, and that gap sits at the heart of one of healthcare's most important and least understood debates. This week, Steve Roest is joined by Matthew Whitty, Director of Commercial Partnerships at MDClone and former Director of Innovation, Research and Life Sciences at NHS England. Drawing on a career that's spanned hospital pharmacy, commissioning, consultancy and national policy, Matt offers a rare view from the intersection of government, industry, academia and patient care. Together they unpack why the "privatisation" debate is really about trust and motivation, what the Federated Data Platform and the Palantir contract actually involve, and why de-identified data can still put patients at risk - including the recent UK Biobank breach. They also explore synthetic data, the case for sandbox environments that could make Britain the number one place to build healthtech, and why Matt believes there's far more reason for optimism about the NHS than the headlines suggest. In this episode: Why the NHS can't build everything itself, and what the private-sector "tension" is really aboutWho owns your health data, and why no single patient record existsThe Federated Data Platform and Palantir controversy, explainedHow de-identified data gets re-identified, and what happened with UK BiobankSynthetic data and the case for UK healthtech "sandboxes"Why the NHS may compare far better to other systems than people assume🎧 New episodes every week with the founders, clinicians, journalists and leaders shaping the future of healthcare.ent privacy.

    The Truth About Your Health Data - with Matthew Whitty (MDClone, ex-NHS England)
  2. Jul 24

    Can the NHS Reform Without Losing Universal Care? | Paul Gallagher

    What would meaningful NHS reform actually look like—and why is it so difficult to discuss? In this episode of Health Tech Hour, Steve Roest speaks with veteran health journalist Paul Gallagher about the pressures facing the NHS, including waiting-list backlogs, workforce shortages, delayed hospital discharges, social-care gaps and the political sensitivity surrounding reform. Paul draws on two decades of healthcare reporting to examine why the NHS repeatedly falls into short-term crisis management, how public expectations compare with the amount the UK is willing to spend, and why discussions about restructuring are so often reduced to fears of privatisation. The conversation also explores the role technology can play in moving care from hospitals into communities, improving prevention and making services easier to access. Steve shares how a single SMS offering an at-home health check generated 80% uptake among previously unresponsive patients, illustrating how service design, not patient apathy, can determine engagement. They discuss: Why social-care shortages keep medically fit patients in hospitalHow fragmented care and workforce vacancies create system-wide delaysWhether technology can meaningfully reduce pressure on NHS staffWhy convenience matters for preventative-health participationThe difference between private delivery and charging patientsWhy NHS reform debates often default to comparisons with the USWhat the UK could learn from healthcare systems in Europe and JapanWhether higher taxation could support better public servicesHow politics and the media reinforce short-term decision-makingPaul Gallagher is a health journalist with more than 20 years of experience, including a decade as health correspondent at the i Paper and work for publications including The Times, The Telegraph and The Mirror. He is also contributing to an Alzheimer’s Disease International report focused on clinical trials. Health Tech Hour features the founders, clinicians, journalists and system leaders changing healthcare in the UK and beyond.

    Can the NHS Reform Without Losing Universal Care? | Paul Gallagher
  3. Jul 7

    Why Outpatients Should End | Tom Whicher, CEO of DrDoctor

    The NHS has invested billions in digital records - but what if the real breakthrough isn't more software, it's what sits on top? In this episode of HealthTech Hour, Tom shares how a naval architecture degree and a chance consultancy project peeling onions for Domino's Pizza led him to co-found DrDoctor in 2012 - and why 13 years later, he believes outpatient care as we know it shouldn't exist. We explore: why hospital appointments haven't fundamentally changed since the 1600s, how DrDoctor has powered nearly 200 million NHS appointments for 37 million patients, why 40% of outpatient activity could be delivered at home, how agentic AI is now transforming how patients interact with the NHS, why EPRs alone don't deliver the savings the NHS was promised, the shift from digitisation to optimisation in NHS strategy, why every CEO of a software business needs to embrace AI, the paradox of the most-wanted job being a doctor while most doctors want to leave, how UK health tech founders can build lasting relationships with the NHS Tom also explains how DrDoctor is becoming the agentic operating system for the NHS — integrating deeply with EPRs, powering the NHS App, and building the AI tools that free up clinicians to focus on patient care. Whether you're a healthcare professional, founder, investor, policymaker, or simply interested in the future of healthcare, this conversation offers a rare inside view of what really needs to change to make the NHS fit for the future. #HealthTech #DigitalHealth

    Why Outpatients Should End | Tom Whicher, CEO of DrDoctor
  4. Jun 3

    Navigating the US Healthcare System for UK Founders with Demi Radeva, CEO of Across

    This week on HealthTech Hour, Steve sits down with Demi Radeva, CEO and co-founder of Across, who is helping UK health tech founders enter and succeed in the United States. With nearly 20 years of experience spanning the world's largest US payer, the London School of Economics, and a teaching role at the University of Minnesota, Demi brings a rare dual perspective - she's lived inside both health systems, studied how they finance themselves, and built and co-founded multiple digital health ventures of her own. Demi is particularly passionate about helping founders follow the money - understanding reimbursement, structuring ROI, and accessing the right buyers across the 1,100 decision-making bodies that shape US healthcare. We get into what that looks like in practice - why UK health tech consistently brings stronger evidence to the table, how to access programmatic spend when no billing code exists, and why making your customer money beats saving them money every time. Outside of work, Demi is shaped by her own immigration journey from Bulgaria to the US, an experience that informs how she thinks about culture, incentives, and what it actually takes to move between two very different systems. A sharp, practical conversation with one of the leading voices helping UK health tech founders take their first serious step into the American market. Follow HealthTech Hour for more conversations with the founders, operators and builders shaping the future of UK health and tech.

    Navigating the US Healthcare System for UK Founders with Demi Radeva, CEO of Across

About

HealthTech Hour is a leading healthtech podcast exploring the people and technologies transforming healthcare. Each episode features conversations with healthtech founders, healthcare leaders, clinicians, investors and innovators building the future of digital health, AI, diagnostics, medtech and healthcare innovation. Whether you're a founder, investor, healthcare professional or simply passionate about health technology, HealthTech Hour brings insights from the people shaping the future of healthcare. 🌍 Listeners in over 50 countries. 🎙 New episode bi-weekly. 🗣 Hosted by Steve Roest.

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