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Building software

The Forge

3 posts

5 Jun 2026 forgebuilding-softwarepractice

The cloud is just someone else's computer — and your patient's data is asleep on it

Most clinical tools assume the data should live in someone else's data centre. For a great deal of what clinicians build, that assumption is quietly backwa

25 Mar 2026 forgebuilding-softwarepractice

I replaced an enterprise system with a laptop and a weekend

A single SQLite file did what a six-figure platform could not. Sometimes that is the right call, and sometimes it is a trap. Race the queries and decide.

7 Mar 2026 forgebuilding-softwaremarrow

Why surgeons should build their own software

The tools clinicians are given are built by people who have never carried a bleep. The gap between workflow and software is a design brief.

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General information, not individual medical advice. AI tools may assist drafting. Views are the author's own, not the NHS trust's.