The NHS’s new Innovator Passport, announced as part of the latest 10-Year Plan, is being talked about as a big step forward. In theory, it offers a single, joined-up way for digital health products to navigate the system, a central process that could save time, reduce duplication, and help good ideas scale faster.
It’s a promising idea. But it also sounds a lot like something we’ve heard before.
Let’s look at DTAC. Launched back in 2021, the Digital Technology Assessment Criteria was meant to bring a clear, consistent standard for digital health across the NHS. It set out the rules around clinical safety, data protection, usability and so on. Four and a half years later, it’s still not being used consistently. In many places, it’s barely used at all. Some regions follow it closely, others do their own thing. The result is that many innovators are still repeating the same assessments over and over, just framed slightly differently each time.
So when we hear promises about a streamlined, centralised process, we need to ask: how will this be different?
If done properly, the Innovator Passport could solve a lot of problems. Right now, the process for getting a digital product into the NHS is complex and inconsistent. A national route, one that gives assurance, provides support, and is trusted by commissioners, would be a big win. It would help remove unnecessary barriers and allow the system to focus on backing products that are safe, effective and ready to scale.
But unless the process is actually used and respected across the system, it won’t make a difference. And based on what we’ve seen with DTAC, we know that a good idea on paper doesn’t always translate into real-world change.
DTAC had the right intentions. But it never really got embedded. There was no mandate to use it, and no national follow-through to make sure it was applied consistently. That led to confusion for innovators and frustration for commissioners. In too many places, it became optional, just another thing to add to a checklist.
If the Innovator Passport is going to work, it needs to avoid the same traps:
Most people working in digital health aren’t asking for shortcuts, they just want a clear, fair and consistent route into the system. Right now, it’s not clear. Every region has its own version of the rules. And even when national standards exist, like DTAC, they’re not applied in a joined-up way.
The Innovator Passport has the potential to change that. But it will only work if it actually opens doors. If regions can still ignore it, or run their own versions, it won’t fix the problem. It’ll just add another layer.
There’s a lot to like about the idea of an Innovator Passport. The goals are the right ones. But we’ve been here before. If this is going to be more than just another policy promise, it needs to be backed by action, and that means national consistency, clear incentives, and proper support.
This is a chance to learn from DTAC and build something better. Let’s not waste it.
If you’re a digital health supplier trying to reach patients faster, or an organisation keen to support access to trusted digital tools, we’d love to talk. Get in touch at: Jordan.Hawkings@ORCHAHealth.com.
By Jordan Hawkings, Business Development Manager, ORCHA.
In my last blog, I explored the growing appeal of the B2C route in digital health, especially in contrast to the highly attractive but challenging B2B2C strategy that a target as big as the NHS offers, but let’s dig into something often overlooked: how can the latter model actually restrict patient access, rather than enhance it.
I’ll be honest—the opportunity of B2B2C WAS compelling. The idea of going through established healthcare systems like the NHS to reach patients makes sense on paper, It would offer credibility, reimbursement, and a clear path to scale. But as we’ve seen time and time again, the theory doesn’t always translate into reality. As Einstein was famously (mis)-quoted as saying, “In theory, theory and practice are the same, in practice, they’re not”….
The Bottleneck
Here’s the problem: when access is dependent on health systems, patients are no longer at the centre—they’re at the very end. Even if a digital health product ticks every box, it may still not reach the people who need it simply because:
This doesn’t just delay patients’ access—it often prevents it entirely.
The Irony: Demand Is There, But Access Isn’t
In spite of all this, Millions of people are out there searching, daily, for solutions to manage anxiety, diabetes, pain, insomnia—you name it. They’re willing, tech-enabled, and willing to engage. However, many of the best that digital has to offer will never make it to their hands, not because the demand isn’t there—but because the distribution model doesn’t allow it.
What we’re seeing is a market where innovation exists, and consumer demand exists—but the ability of the system to marry these two together just isn’t there.
Reimagining Access: B2C + Assurance = Empowered Patients
I believe it’s time to challenge this status quo. That’s why at ORCHA, we’re building new pathways to patient access, rooted in the principles of safety, trust, and scale.
We’ve proven that partners like Mind UK and Pharmacy2U can dramatically improve visibility and uptake of trusted digital tools. These aren’t “just” consumer channels—they’re trusted touchpoints in people’s health journeys, places they already turn to for help, advice, or access to care.
By embedding assured products into these journeys, we:
It’s Not One or the Other….
It would be short-sighted and arguably naive to dismiss the B2B2C model, there are places where it works well, and when it does, it can do so at scale. But if we really care about impact, and getting the right solution to the right patients, we need to agree that patient access must come first. As a keen biker, it would be like building the perfect motorbike, and leaving it locked in the garage with no-one able to see it.
Let’s stop treating healthcare systems as the only way in. Let’s open the door to trusted B2C channels that empower people to act on their own health needs, not in silo, but collaboratively, as an industry.
Let’s Talk! If you’re a digital health supplier trying to reach patients faster, or an organisation keen to support access to trusted digital tools, we’d love to talk. Get in touch at: Jordan.Hawkings@ORCHAHealth.com
By Jordan Hawkings, Business Development Manager, ORCHA
Hi, I’m Katie from the Wellbeing Enterprises team, and I’m absolutely thrilled to have reached a milestone of over 1,000 digital health recommendations! It’s been such a rewarding journey, and I want to take a moment to reflect on why recommending health apps as part of our wellbeing plans has truly been a game changer for the people we support—and for me, personally.
When I first started using ORCHA (the Organisation for the Review of Care and Health Apps), I saw it as a great tool to complement and enhance the support we offer. But I couldn’t have predicted just how impactful it would be. To date, 289 of the apps I’ve recommended have been downloaded—which means that nearly 300 people have taken a proactive step toward improving their health and wellbeing. That’s incredible!
Empowerment Through Choice
One of the most powerful things about recommending digital health apps is the way it puts control back into the hands of individuals. Whether it’s managing anxiety, improving sleep, tracking physical activity, or learning mindfulness, these apps provide personalised, accessible tools that people can use on their own terms.
Meeting People Where They Are
While many people benefit from face-to-face support and traditional health programmes, some may prefer or need alternative forms of support that enhance and extend these options. Apps allow us to meet people where they are: on their phones, in their own time, and at their own pace. This flexibility is especially important for those with busy lives, mobility issues, or social anxiety.
A New Standard for Wellbeing
Reaching this milestone highlights a shift towards a more holistic understanding of health and wellbeing support. It’s never about replacing face-to-face care but combining the strengths of digital tools and human connection. Together, they form a more flexible, responsive, and inclusive approach, one that supports people in the ways that work best for them.
I’m incredibly proud to be the highest current user of ORCHA within our team and to help set the benchmark for what’s possible. But the real reward is knowing that these recommendations are changing lives—making people feel seen, supported, and equipped to take the next step toward a healthier future.
Thanks to Mike and the team at ORCHA for your kind words and continued support, and to my amazing colleagues at Wellbeing Enterprises for always championing innovation.
Here’s to the next 1,000!
– Katie
Community Wellbeing Officer, Wellbeing Enterprises CIC
Over the past decade, digital health suppliers have set their sights on the potentially lucrative B2B2C (business-to-business-to-consumer) go-to-market strategy. The goal: secure reimbursement via healthcare systems and gain credibility through deployment in existing health infrastructure.
However, economic challenges, complex procurement and bureaucratic hurdles mean that widespread reimbursement hasn’t materialised as expected. These barriers have, in an increasing number of cases, led to innovations dropping the NHS-and, by extension, the UK market as a whole.
This is devastating, that the UK, spending over a quarter of a trillion pounds a year on health care, is being viewed by some as lacking the opportunity for health tech innovation to thrive!
At the same time, an undeniable shift has taken place—over 5 million consumers now download and purchase digital health apps every day. The demand is clear, and it’s coming directly from consumers who are actively searching for solutions to improve their health or overall well-being.
This presents an important question for digital health companies: Is the real opportunity in B2C (business-to-consumer) instead?
I spend a lot of my time speaking with innovators from across the digital health space, and having spoken with hundreds of digital health founders and innovators, most of whom had unique products, one thing that they all have in common? The desire for IMPACT. Everyone I speak to has an amazing story to tell about their product and the story behind it, as well as its potential to deliver positive impact to peoples health, they’re also all facing the same challenge.
The Challenge: Getting the Right Products to the Right People
While the consumer market is booming, visibility and distribution remain major challenges. With thousands of digital health products available, how can people find the safest and most effective ones? How can companies ensure their products reach those who need them most?
That’s where ORCHA comes in. For the past decade, we have worked alongside healthcare systems, charities, and industry partners to create distribution channels to ensure quality digital health solutions reach consumers. Underpinned by assurance, we give organisations and consumers the confidence that they are accessing the best and safest products.
Building Momentum with Key Distribution Partners
We’re seeing incredible results through our partnerships with Mind UK, Pharmacy2U and of course the NHS. By integrating assured digital health products into these trusted platforms, we’re making it easier than ever for people to find safe and effective solutions.
Take Mind UK as an example. Every day, tens of thousands of people visit the Mind website to access support with their mental health, and they can now discover and download Mind-assured digital health products, showcasing the power of trusted distribution channels in connecting consumers to the support that they need, whilst also highlighting the willingness of consumers to engage in proactive self-management.
The Future: A Call to Action
If you’re;
Why don’t we have a chat? Drop me an email at Jordan.Hawkings@ORCHAHealth.com
Written by Jordan Hawkings, Business Development Manager, ORCHA