In this episode of the Pathology News podcast, Sidney Ocanagil-Tunstall speaks with Rahul Deb, Lead Breast and GI Pathologist at University Hospitals of Derby and Burton NHS Trust, about what it really takes to implement digital pathology in the NHS. Rahul reflects on his journey into pathology, from training in India to practising in the UK, before discussing Derby’s own digital transformation.

The conversation covers whole slide imaging, speech-to-text reporting, validation, funding, training, and the practical challenges of moving from glass slides to digital workflows.Rahul also shares Derby’s approach to AI implementation in breast and prostate pathology, including the importance of clinical champions, staff engagement, and realistic business cases. Rather than presenting digitisation as a simple technology upgrade, the episode explores how digital pathology changes the way departments work, train, report, and prepare for the future of computational pathology.