Implementation of a HEPMA system across NHS Fife was the improvement project that I outlined at the beginning of DLP Cohort 16. Despite significant delays to the rollout and implementation of this system due to unforeseen challenges at the contracting phase, I have been able to undertake significant pieces of work in the pre-implementation phase of the programme as part of my digital leadership journey. Examples of this work have included recruitment and team building, establishing a project governance structure, planning benefits realisation as well as collaborating with key stakeholders across the organisation in preparation for implementation.