NHS Federated Data Platform

Vikki Slade Excerpts

Thursday 16th April 2026 Westminster Hall

[Martin Wrigley]

I absolutely agree with my hon. Friend, as do the Prime Minister and the Science and Research Minister.

Turning to the solution, the solution is wrong. There have been many attempts to unify the NHS by using a single IT system; each one has failed. In reality, we must think of the NHS as thousands of independent organisations. NHS England has been guiding organisations towards a combined data dictionary for more than 10 years, combining definitions of what data means, how it is recorded and the way it is used. After three years, about half of the 200-odd NHS trusts across 42 integrated care boards are quoted as live on the FDP, and only a quarter of them report benefits from using it.

[Vikki Slade (Mid Dorset and North Poole) (LD)]

My hon. Friend’s expertise in this area is impressive. I recently spent a shift with the South Western ambulance service and saw how critical it was for that service to be able to access both GP and hospital data—we had a lady who had had a heart attack, and we did not know who she was. Does my hon. Friend agree that the priority should be for the different elements of the NHS to talk to each other, rather than be scraped by a third party such as Palantir?

[Martin Wrigley]

I do agree. Palantir will not enable GPs, paramedics or anybody else to see hospital data. They will have to go through Palantir to see that data, and they will not be able to access patient records from the hospital to the GP or vice versa.

Like any data warehouse, Palantir requires connecting software that reaches into each of the NHS’s internal systems and gathers data. That data gathering is being done NHS trust by NHS trust, as there are differences inside each one. That is embedding the use of Palantir-owned code inside every NHS trust by creating custom connecting software to connect and translate data.

In Devon, the local ICB has celebrated as a major success the adoption of the same electronic patient record across Devon’s four main hospitals. It has just gone live in Torbay trust, which serves most of my Newton Abbot constituency. In an organisation as diverse as the NHS, with such distributed responsibility, we can either impose one massive system to rule them all or build interoperability. Interoperability would allow GPs to see hospital records and vice versa. Palantir is not doing that.

Interoperability is how massive systems, such as the internet or mobile phone networks, work. They do not rely on one single system or supplier. In that way, a modular system, a bit like Lego, can be constructed that, overall, is immune to changes elsewhere in the wider environment, providing only the specific data required to deliver improvements in services. That form of system builds long-term capability and delivers without requiring a locked-in, expensive subscription. It can also be built by a UK tech consortium in parallel with phasing out Palantir, which would build UK sovereign solutions, tech skills and competencies.

Meanwhile, NHS England’s October 2025 medium-term planning framework mandates all NHS providers of acute, community and mental health services to sign up to the FDP, and it demands that any existing local data analysis systems are removed. That results in further lock-in.