We ponder the dramatic news that INPS has gone into administration and catch up on First Minister’s questions before our main discussion with Dr Colin Brown, a retired GP and now Healthcare Informatics Consultant. Colin takes us through the evolution of GP computing systems and reflects on the challenges of implementing technology in healthcare, recounting the early adoption of Gpass, the main GP system in the 1980s and 90s. He highlights its limitations, including frequent breakdowns and outdated infrastructure, and the attempts to modernise it in the F3 group’s efforts to redesign it with dual databases and a central server, which ultimately faced technical and logistical hurdles. The shift to off-the-shelf commercial systems in Scotland, the complexity of integrating systems across NHS sectors, and the overarching challenges of interoperability are key themes. In the latter part of the discussion, the potential of wearable health devices is explored, focusing on their utility for monitoring activity levels, sleep patterns, and even early disease detection. Colin highlights a German national initiative using over half a million wearable devices to gather public health data. He advocates for leveraging this type of data for predictive analytics and better clinical insights, emphasizing the need for accuracy and meaningful interpretation. The conversation also touches on the cautious adoption of AI, with specific examples like digital scribes for consultations, and raises concerns about over-reliance on technology without adequate supervision. Colin concludes by expressing optimism for modular, interoperable platforms to address these longstanding issues, stressing the importance of veracity and utility in health data. First Minister’s questions from Thursday, 19/12/24 (at 46:34) from Broadcasting Scotland Everyday data for COVID-19 from mHealth devices: The PAIDUR framework by Colin Brown. How many steps a day are enough? Preliminary pedometer indices for public health The history of Gpass Inside a Santa Claus academy