Why do organisations keep investing millions in new technology, only to end up with more complexity, higher costs, and frustrated teams?

In this episode of Lessons Not Yet Learnt, host Kiran Kachela explores a familiar pattern seen across industries: technology being deployed as a solution before the underlying problems are fully understood. Drawing on real-world examples from construction, healthcare, and pharmaceuticals, the episode reveals how misalignment, rushed decision-making, and neglected foundations quietly derail transformation programmes.

Kiran is joined by Jat, Director of Quality at Great Ormond Street Hospital, who brings a quality and improvement lens to digital transformation. Together, they unpack why purpose, people, and process must come before technology, and why slowing down at the start is often the fastest route to sustainable success.

In this episode, we cover:
• Why tech fails when purpose and objectives are unclear
• The risks of digitising broken processes instead of fixing them
• How lack of stakeholder engagement fuels resistance and change fatigue
• Why strong foundations are essential for sustainable transformation

About Our GuestJat – Director of Quality, Great Ormond Street Hospital

Jatinder Old has over 25 years’ experience across the pharmaceutical industry and the NHS, including 16 years in pharmaceuticals and more than a decade in healthcare. With a background in chemistry, project management, and quality, he brings a deeply analytical and systems-focused perspective to transformation.

In his current role, Jat leads quality assurance, improvement, and governance, with a strong focus on improvement science, process optimisation, and learning from past failures to prevent future ones.

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