The Department of Health and Social Care (DHSC) has published a one-year update to its first medical technology (medtech) strategy for the NHS, which was initially published in February 2023, alongside an accompanying medical technology innovation classification framework. The DHSC has structured the one-year report into the four overarching stages of the pathway that the government is seeking to improve, which are entry point, approvals, funding and commercial adoption. It also outlines the next steps to help support delivery of the strategy’s vision for the right product, at the right price and in the right place, and the continued delivery of high-quality care, outstanding patient safety and excellent patient outcomes in a way that makes best use of taxpayer money. The DHSC has also published the accompanying framework following an extensive review of literature available on innovation language and in consultation with stakeholders across the health system and industry. The framework will establish a common language for discussing innovation across the medical technology sector, establish clear criteria for a device to be described as innovative in different forms, clearly convey the change in a device compared to what already exists on the market and benefits to patients and the system, and support prioritisation and adoption of the most impactful innovations.