Yes, I know Tim pretty well, been working with him 15 years. We made solid together. And there was a little piece of Solid that transmits notifications over websockets via pub/sub. Which is exactly what nostr does. But that broke. And instead of fixing it, it was easier to build up nostr instead :D. Now I'm putting nostr back into solid (hopefully). It's all one big jigsaw.
We were literally talking about fax machines yesterday. The young dude scribing said (did you say "facts machine") lol. Tim was saying we need to scan it, but there could be smudge in the data and so on. It's a real pain.
I've found dealilng with the NHS a real pain too. My sister has health problems, and I wanted premission to talk to her doctor. She gave permission, but surgery said she has to fill out a bunch of forms. That's just too much for her. So whole thing is taking years. Things will improve very slowly. I think at one people there was this whole drive to "gamify" the NHS. But it just added more layers of bureaucracy.