ALT More fundamentally, we sometimes fail to question the underlying processes and digitise them anyway. Long prose notes and letters have survived almost unscathed in the transition away from paper; instead, maybe, consultants could be told they don't need to write a clinic letter after every single appointment. Maybe GPs could access clinic notes, discharge summaries, and results directly in their systems, and patients via the NHS App. Maybe, just maybe, we don't need letters at all? I have seen many poor processes digitised when the big productivity gains come from asking basic questions about the process itself. So yes, we absolutely need investment in Al, but the unpopular truth is that we will also need the management capacity to transform our inefficient processes as well.