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In this episode of the Tech Pulse Healthcare Podcast, Atif Nasim and co‑host Jonathan Probets are joined by Kez Spelman, Director of Innovation and Community Resilience at Provide Community, an employee‑owned Community Interest Company delivering NHS, local authority and private services. Kez has been a nurse and public servant for many years and says he’s never seen pressure, demand and expectation at the levels we are seeing today. Rather than shutting innovation down, those constraints are forcing his teams to find new ways of working – especially with XR, wearable tech and AI. We cover: What it really means to be a Community Interest Company that must both deliver public value and “balance the books” – and why that agility creates a powerful testbed for innovation How Provide Community is using RealWear smart glasses so clinicians can “bring another person into the room” virtually and safely delegate tasks across large geographic areas Practical use cases: avoiding unnecessary call‑outs for minor issues, supporting catheter positioning, and doubling podiatry throughput by pairing newly qualified staff with remote experts The unglamorous obstacles: national connectivity gaps, staff reluctance to “put something on your head”, and the challenge of recurrent licence and technology costs Why the future of wearables lies in normal‑looking spectacles with audio-visual support and ambient voice technology baked in Where automation and AI should really start in healthcare – from bureaucratic processes to AI that moves us from manual data trawling to accurate, relevant retrieval at the point of care Kez’s view on agentic AI, the need for strong guardrails, and his concern that most quantum and advanced tech investment still prioritises defence and finance over healthcare If you’re interested in XR in healthcare, digital transformation in the NHS, or how to innovate when there’s “a lot to do and not enough people to do it”, this conversation is packed with grounded insight and real examples. 00:06 – Welcome to Tech Pulse Healthcare Podcast, Episode 11 and host introductions 00:49 – Introducing guest Kez Spelman and her role at Provide Community 01:14 – Innovation in the NHS during cuts and intense pressure – why it still matters 03:11 – What Provide Community is and what it means to be a Community Interest Company (CIC) 04:39 – Why CICs must “balance the books” and what happens if they don’t 05:53 – Tight budgets, risk, and the upside: flexibility, speed and agility for innovation 07:08 – The core problem: large geography, not enough clinicians, and the role of audiovisual tech 07:45 – Using wearables to delegate tasks and provide virtual skills support in people’s homes 09:23 – The future: making wearables feel like normal spectacles and ambient voice recording 10:32 – For CICs: reducing costs while bringing remote expertise into the room to improve care 11:47 – Delegated clinical tasks, pride, safety concerns and where tech can support delegation 12:44 – How RealWear actually works: head‑mounted phone, small screen, voice activation, Teams calls 14:07 – Avoiding unnecessary call‑outs (skin tears, bumps, catheter positioning) 15:47 – Cultural resistance to delegated, tech‑supported care and how exposure drives adoption 17:46 – The investment problem: licences, recurrent costs and overburdened services 18:26 – Using tech to work with what we have and free capacity for growing complexity 19:14 – Bureaucracy ripe for automation and the role of RPA in healthcare back‑office 20:56 – Podiatry case: using RealWear to tackle skills deficits and support newly qualified staff 21:17 – Doubling podiatry throughput instantly with remote expert support 22:45 – AI’s potential to move from labour‑intensive data retrieval to pinpoint, accurate answers 23:28 – Agentic AI, autonomy, guardrails and why Kez stays optimistic 24:09 – Quantum tech priorities: defence and finance first, healthcare far down the list 25:08 – Thanks, where to learn more about Kez, and wrap‑up