My name is Nick Hamilton, and for over two decades, I’ve operated at the intersection of mechanical engineering and sports innovation. As a Principal Research Fellow in Sheffield Hallam University’s Sports Engineering Research Group (SERG), I’ve spent my career optimising equipment for elite athletes, designing everything from carbon fibre bikes to injury-preventing wrist guards. But since December 2023, I’ve embarked on an unexpected pivot: leading the Innovation Pipeline of the South Yorkshire Digital Health Hub (SYDHH). This blog post charts how two decades of sports engineering principles—problem-solving through design, human-centred prototyping, and cross-disciplinary collaboration—have become unexpectedly vital in addressing systemic healthcare challenges.

The Crucible of Sports Engineering
Sports engineering thrives on translating abstract physics into tangible performance gains. Whether developing the world’s fastest gravity sled or refining mountain bike hubs to withstand World Cup-level impacts, my work has always demanded three core skills:
- Analytical Precision: Every product—from snowboard wrist guards to aerodynamic cycling helmets—requires rigorous testing under real-world conditions. We quantify stress points, model material behaviours, and iterate designs until failure rates approach zero.
- User-Centric Innovation: Elite athletes aren’t passive recipients of technology; they’re collaborators. A downhill biker’s feedback on handlebar vibration or a golfer’s insight into club kinematics directly shapes our R&D priorities.
- Interdisciplinary Synthesis: Sports engineering projects fuse biomechanics, materials science, and industrial design. Our team routinely works with professional athletes, manufacturing firms, and academic researchers to bridge theory and application.
These principles proved transformative in sports, but their relevance to healthcare only crystallised when I assumed leadership of SYDHH’s Innovation Pipeline.
The South Yorkshire Digital Health Hub: A Mission of Integration
Launched in Autumn 2023 through a £4 million EPSRC collaboration between Sheffield Hallam University and the University of Sheffield, SYDHH aims to revolutionise healthcare by integrating two historically siloed datasets: routine NHS records and real-world data from smartphones/wearables. The Hub’s mandate aligns with South Yorkshire’s Integrated Care Board (ICB), which faces pressing challenges:
- Health Inequalities: Life expectancy gaps exceeding 10 years between affluent and deprived areas.
- Diagnostic Delays: Coronary artery disease—the UK’s leading killer—often requires costly, inaccessible tests like CT scans.
- Chronic Disease Management: Conditions like lung cancer and neurological disorders demand continuous monitoring beyond clinic walls.
SYDHH’s Innovation Pipeline, which I co-lead 3 days a week until the end of the project, funds projects that fuse NHS data with wearable and smartphone metrics to address these gaps. Our £500,000 pilot initiative, announced in January 2025, supports seven ventures ranging from AI-driven coronary diagnostics to wearable haemorrhage detection in anticoagulant patients.
Translating Sports Expertise to Digital Health
When I first joined SYDHH, the learning curve felt vertical. Healthcare’s regulatory complexity—data governance, ethical approvals, clinical validation—was alien compared to sports’ agile prototyping culture. Yet beneath these surface differences lay fundamental parallels:
- Precision Through Measurement
In sports, we instrument equipment with strain gauges and accelerometers to capture millisecond-level forces. SYDHH applies analogous rigor to health data. One funded project uses AI and data from wearables to help diagnose coronary artery disease, mirroring how we assess cyclist pedalling efficiency. - User-Centred Design
Elite athletes scrutinise every prototype iteration. Similarly, SYDHH insists that developers co-create tools with patients and clinicians. A contraceptive experience-sharing app, for instance, underwent multiple patient feedback loops even before application —akin to refining a snowboard wrist guard through iterative tests. - Cross-Sector Collaboration
SERG’s partnerships with brands like Adidas and British Cycling taught me to navigate corporate/academic cultures. At SYDHH, I mediate between NHS clinicians wary of AI “black boxes” and tech innovators accustomed to rapid pivots. Our lung cancer survival predictor project, combining imaging data with biopsy results, requires aligning oncologists, radiologists, and data scientists—a challenge reminiscent of coordinating aerodynamicists and cyclists during bike design.
The Innovation Pipeline: From Concept to Clinic
Leading the Innovation Pipeline has meant adapting sports engineering’s “fail fast, learn faster” ethos to healthcare’s risk-averse environment. Our £500,000 funding round prioritised projects demonstrating:
- Clinical Relevance: Solutions must address ICB-identified priorities like reducing CVD mortality or streamlining joint replacement rehab.
- Data Integration: Proposals must merge at least two data streams (e.g., Electronic health records + wearables) to unlock novel insights.
- Scalability: Tools should function across South Yorkshire’s diverse settings—from Sheffield teaching hospitals to Rotherham GP clinics and community groups.
A standout example is Dr. Rafic Ramses’ AI-powered coronary artery disease (CAD) screener. By analysing wearable-derived activity levels, sleep patterns, and pulse waveforms alongside NHS demographic data, the tool identifies high-risk patients for targeted testing—reducing unnecessary CT referrals. This mirrors how we optimise equipment based on biomechanics and event conditions.

Lessons Learned and Future Horizons
Transitioning to digital health has reinforced the importance of humility. Early on, I underestimated the NHS’s data governance labyrinth; it is one of my new colleague’s full time jobs. Yet sports engineering’s iterative mindset helped reframe setbacks as learning opportunities.
Looking ahead, SYDHH’s success hinges on deepening ICB partnerships. A 2025 priority is expanding our “data linkage” focus to strengthen the link between smartphone and wearable data with routine healthcare data. As well as exploring opportunities including environmental factors (e.g., air quality sensors) and social determinants (e.g., housing data). Just as a cyclist’s performance depends on bike fit, nutrition, and training, population health requires synthesising biomedical, behavioural, and socioeconomic variables.
Conclusion: Engineering a Healthier Future
Leading SYDHH’s Innovation Pipeline has reaffirmed a core truth: innovation transcends domains. Whether preventing wrist fractures in snowboarders or streamlining cancer prognostics, success demands analytical rigor, user empathy, and collaborative agility. My sports engineering journey—from carbon fibre prototypes to digital health ecosystems—underscores that the tools shaping Olympic podiums can also transform communities. As SYDHH evolves, I’m committed to ensuring that South Yorkshire’s healthcare innovations match the precision, inclusivity, and impact of the equipment empowering its athletes.
