Shifting demographics mean that the NHS must change. To cope with these new demands we must radically reassess how we design services and use technology to provide care.

In a time of fiscal austerity, few topics are as emotive as the protection of the NHS. Tim Linehan argues that demographic trends will make it harder and harder to fund the NHS in the future. Innovative solutions are needed – solutions like Kent’s telehealth initiative, which can offer improvements to patient health, but at much lower cost.