Technology for diagnostic imaging typically takes months to deploy into a hospital. As part of a mammoth technology response from Barts Health NHS Trust to make NHS Nightingale Hospital London work, the trust worked tenaciously with its medical imaging provider Sectra to deliver a PACS in three days and create entirely new ways of working for radiographers and radiologists in the COVID-19 field hospital. Barts Health NHS Trust CIO Sarah Jensen and PACS manager Brian Turner explain how it was done.