Alison Macdonald

Abstract Nitrous oxide is a potent greenhouse gas and the primary ozone-depleting agent of the 21st century, but marine emissions of nitrous oxide remain difficult to constrain due to their spatiotemporal variability. In the Southern Ocean, where extratropical cyclones create conditions conducive to air-sea gas flux, shipboard measurements are unlikely to capture the full extent of nitrous oxide emissions due to the impracticality of sampling said storms.

In recent weeks there have been a number of announcements from NHS trusts and ICSs about their digital transformation plans. Most notably, Norfolk and Waveney ICS, is rolling out the MEDITECH EPR solution across its three acute trusts, with plans for a March 2025 go-live. Having been dubbed a ‘digital desert’ in the media, the implementation of the enterprise system is set to make the ICS the first in the country to have a single, shared EPR.

The Interoperability Working Group will work towards achieving the vision set out in NHS England’s 2022 draft standards and interoperability strategy. The group will aim to encourage the adoption of open standards and fluidity of data whilst recognising the commercial needs of members. It will also focus on demonstrating the value of interoperability to NHS senior management and improving the abilities of SMEs to implement interoperability standards.