What have we learned from COVID-19? This presentation aims to share our dream of a potential digital diagnostic (pathology and radiology) service integration, by implementing a regional (mid-sized) ‘system-agnostic’ interoperable solution for the purposes of resilience, sharing learnings, and equitably distributing the workload; thereby, introducing workflow efficiencies across the region, which ultimately will benefit our NHS patients and our front-line services. This session aims to nationally explore the appetite – within agreed programme scope – the opportunities to turn that vision into reality.