The UK’s National Health Service (NHS) is confronting significant obstacles in its transition to the Windows 11 operating system ahead of the looming end-of-life for Windows 10. The deadline of October 14, 2025, marks the end of free security updates from Microsoft for Windows 10, placing organizations that fail to upgrade at an increased security risk. The core of the problem for the NHS lies in both its existing hardware inventory and its reliance on third-party suppliers.

Hardware Hurdles and Incompatibility

A primary barrier to the Windows 11 upgrade across the NHS is the strict hardware requirements mandated by Microsoft. Windows 11 requires modern processors and, most critically, a Trusted Platform Module (TPM) 2.0 security chip. A substantial portion of the NHS’s computer inventory does not meet these specifications. This means that a direct software upgrade is not possible for these machines, necessitating a large-scale, costly hardware replacement cycle. Without new compatible PCs, these systems are ineligible for the move to the more secure operating system.

Supplier Dependencies Create Delays

The challenge is compounded by the NHS’s dependence on a wide array of specialist third-party suppliers for both software and medical equipment. Critical clinical applications, diagnostic software, and hardware peripherals must be certified as compatible by their vendors before they can be run on a new operating system. Reports indicate that many of these suppliers have been slow to test and validate their products for Windows 11. This resistance leaves NHS IT departments in a difficult position, as they cannot upgrade systems until these essential third-party components are fully supported, further delaying the migration and extending the use of the aging Windows 10 platform.

Source: https://www.theregister.com/2025/10/31/nhs_windows_11_issues/