Gulati and Weir argue that although adaptations such as e-consultations with GPs or remote self-monitoring for patients with pre-existing conditions have already existed for a time, it was the context of the pandemic that forced their wider adoption, in an aim to reduce the need for face-to-face appointments and hospital visits. Innovation led to patient empowerment and carbon reduction simultaneously (e.g. through reduced transportation emissions); the challenge now, the authors argue, is for the public sector leader to ensure the momentum for change is being maintained, strategic vision and partnerships developed: