Digital health transformation · UK & Ireland
Aligned strategy.
Connected capability.
We align the three layers most programmes treat in isolation — foundations, operations and experience — and we stay until the business case is delivered, not just the software installed.
The Undine Waterline Model
Three layers. One aligned outcome.
Most programmes optimise one layer and hope the others follow. The Waterline Model maps foundations, operations and experience as a single connected system — and our work moves coherently across all three.
Above the waterline
Experience
What patients and staff feel — access, engagement, virtual care, prevention and better outcomes.
At the waterline
Operations
How care is designed and delivered — pathways, operating model, workforce enablement and change.
Below the waterline
Foundations
What makes transformation sustainable — strategy, data, interoperability, cyber, clinical safety and assurance.
The context
The market has moved from “go‑live” to value.
Independent buyer research is unambiguous: NHS and Irish organisations now judge advisers on measurable optimisation, clinical‑workflow credibility, benefits tracking and what happens after the team is supposed to leave. That is the work we were built for.
of UK buyers name EPR optimisation and clinical‑workflow redesign their highest‑urgency need.
Black Book research · UK/NHS, 2026now require benefits tracking to continue well beyond go‑live — not stop at it.
Black Book research · UK/NHS, 2026of EPR programmes still under‑deliver against their business case without sustained optimisation.
Sector audits · KLAS · NAO reviewsWhat we do
Bespoke support across the whole journey.
Strategy, delivery and optimisation — tailored to your pathways, your evidence and your board. Never templated.
Strategy & roadmapping
From analogue to digital maturity — visioning tied to the 10 Year Plan, What Good Looks Like and Sláintecare.
Explore FoundationsData & interoperability
FHIR, HL7 and shared care records — connecting the systems that should already be talking.
Explore FoundationsCyber & resilience
Scalable, secure architecture and continuity that involves clinical teams, not just IT.
Explore OperationsPathways & operating model
Designed journeys for patients and staff, mapped and embedded in the technology.
Explore OperationsWorkforce & adoption
Shoulder‑to‑shoulder with frontline teams — the human element that decides success.
Explore ExperienceAI readiness
De‑risking your AI investment through a structured ethical and viability audit — before you commit.
ExploreWhy Undine, not an alliance
Built for continuity, not rotation.
Independent research that crowns the large alliances also records what buyers increasingly penalise: rotating senior teams, understated risk, weak knowledge transfer, and firms that leave once the system is live. Undine is the deliberate opposite — named senior practitioners who carry programmes end to end, and who are still there when the benefits are due.
How we’re differentSelected work
Programmes we’ve carried, not just advised on.
MEDITECH Magic → Expanse
Client‑side leadership of a full EPR modernisation — business case, benefits, procurement, contract, governance and investor engagement.
Read the story Specialist cancer centreA landmark Epic go‑live
One of the highest‑performing Epic implementations globally, across four sites alongside a major capital build.
Read the story Teaching hospitals · NHSStrategy & optimisation
Digital and data strategy at Trust, ICB and national levels — then optimising the workflows clinicians actually use.
Read the storyInsights
Frank thinking, richly illustrated.
Long‑form perspectives and visual explainers on the questions executives are actually grappling with.
Why digital maturity is not about systems
Maturity is measured by what systems enable — better care, empowered people, efficient operations.
Read insight
Neighbourhood health will fail without digital foundations
Care closer to home depends on what you build below the surface.
Read insight
AI in health and care: from hype to safe adoption
Where different forms of AI add value across the care continuum — safely.
Read insight
Why we exist
Named for Karen. Built for people.
In Scottish folklore an undine is a water spirit. Undine Digital is named in memory of Jonah’s late partner, Karen, who loved the Scottish outdoors and wild swimming.
It’s a quiet reminder that healthcare transformation isn’t really about systems — it’s about the people those systems care for. That belief shapes how we work: humanely, honestly, and with the patient and clinician kept firmly in view.
Our storyStart a conversation
Map your Waterline.
Begin with a structured workshop mapping your strengths and gaps across all three layers — foundations, operations and experience. Clarity, not a sales pitch.