This document discusses medical cyber physical systems (MCPS), including current trends like the need for interoperability between medical devices and closed loop patient care systems. It outlines challenges in MCPS such as developing standards for interoperability, implementing smart alarms, and ensuring robust and stable closed loop control. The document also covers future areas of work like resource allocation in smart medical spaces and improving patient safety and fault tolerance, and concludes by noting challenges specific to MCPS and their effect on health services.