Freedom of information responses from across England show many NHS organisations declining to adopt Palantir’s federated data platform (FDP) introduced in March 2024, with at least 16 trusts and health boards saying they do not use it. Several cited no functional advantage over existing local systems - examples include University Hospitals of North Midlands, Dorset HealthCare, Humber Teaching, Cambridgeshire and Peterborough, Avon and Wiltshire, and University Hospitals Birmingham - while others ran trials and reverted to prior software. A number of trusts that do use the FDP reported it made waiting‑list management and surgery scheduling easier, but many local leaders called it duplicative or “retrograde.” The government must decide whether to exercise a break clause in the seven‑year contract amid public protests over the firm’s other contracts and comments by cofounder Peter Thiel.
Palantir insists the FDP is successful, pointing to NHS figures it says show 117,000 additional operations and a 14.3% drop in long‑stay discharge delays, and that 137 trusts have reported benefits; NHS England cautions those statistics do not prove causation. Two parliamentary select committees have urged ending the deal, the national data guardian highlighted a significant “trust factor” after more than 44,000 legal objections, and local suppliers and campaigners argue home‑grown systems and better interoperability would deliver equal or greater value. Palantir’s new senior vice‑president, Tom Watson, has pushed back against pressure to let protests shape procurement.
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