NHS Workforce Crisis: Pay, Training Bottlenecks, and Retention (Derrek Khor)
Thu Jan 29 2026
As artificial intelligence rapidly enters healthcare, bold claims about replacing doctors dominate headlines. But on the clinical frontline, the reality is far more complex.
In this episode of Faces of Digital Health, oncologist Dr. Derrick Khor shares an unfiltered view from inside the NHS, unpacking what AI actually changes — and what it doesn’t.
Rather than framing AI as a threat, the conversation explores how it already supports clinicians and patients alike: simplifying complex medical information, helping patients understand their diagnoses, and accelerating access to evidence. Yet the biggest constraint isn’t technology — it’s data. Without reliable access to their own health records, patients and AI tools alike remain limited.
The discussion also tackles a growing contradiction in healthcare systems: simultaneous staff shortages and doctor unemployment. Training bottlenecks, hiring freezes, pay erosion, and misaligned workforce planning have created a situation where well-trained clinicians struggle to find roles, even as demand for care continues to rise.
Beyond workforce pressures, Dr. Khor explains why most health tech never makes it into daily clinical use. Solutions often fail not because they’re unsafe or ineffective, but because they don’t fit real workflows. If technology adds friction even a single unnecessary click — clinicians won’t adopt it.
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As artificial intelligence rapidly enters healthcare, bold claims about replacing doctors dominate headlines. But on the clinical frontline, the reality is far more complex. In this episode of Faces of Digital Health, oncologist Dr. Derrick Khor shares an unfiltered view from inside the NHS, unpacking what AI actually changes — and what it doesn’t. Rather than framing AI as a threat, the conversation explores how it already supports clinicians and patients alike: simplifying complex medical information, helping patients understand their diagnoses, and accelerating access to evidence. Yet the biggest constraint isn’t technology — it’s data. Without reliable access to their own health records, patients and AI tools alike remain limited. The discussion also tackles a growing contradiction in healthcare systems: simultaneous staff shortages and doctor unemployment. Training bottlenecks, hiring freezes, pay erosion, and misaligned workforce planning have created a situation where well-trained clinicians struggle to find roles, even as demand for care continues to rise. Beyond workforce pressures, Dr. Khor explains why most health tech never makes it into daily clinical use. Solutions often fail not because they’re unsafe or ineffective, but because they don’t fit real workflows. If technology adds friction even a single unnecessary click — clinicians won’t adopt it. www.facesofdigitalhealth.com https://fodh.substack.com/