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Industries the world over are being disrupted by new technologies. The health care sector is no exception. From a proliferation of on-demand digital mediums for accessing and delivering treatment, to the growing use of e-payments, algorithms and AR, the clinical experience of patients and practitioners is changing. This presentation aims to stir your thoughts about the e ects of digital developments on clinical practice and business. The session will consider a holistic approach to working in conjunction with new technologies whilst upholding clinical and ethical standards. It will explore the changes to the way that patients can access mental health services, the e ects of ‘choose and book’ services of online marketplaces, the algorithms that power them and the security risks to storing sensitive data. Whilst increased patient choice has its merits, this workshop will explore to what extent this could diminish the quality of the therapeutic relationship, the e cacy of these models and what role AR (augmented reality) might play in the future.