In conversation with Rahul Deb, Derby & Burton NHS Trust Episode 2

This episode continues the conversation with Rahul, focusing on the practical realities of implementing digital pathology.Rahul explains why digitisation is not simply about replacing microscopes with scanners. Instead, it exposes wider laboratory challenges, from section quality and workflow design to IT infrastructure, LIMS–IMS integration, staffing, space, governance, and NHS data-sharing barriers.The discussion also explores the impact on day-to-day practice, including digital quality control, remote working, faster case sharing, and the transformation of MDT preparation. Rahul then reflects on the differences between pathology in the UK and India, before discussing AI bias, global datasets, and why broader representation will matter as algorithms enter clinical use.The episode closes with Rahul’s advice to young pathologists: see as much as possible, ask questions, and build strong relationships with clinical colleagues.