This paper explores developments related to digital technologies and social care in England from 2019 to October 2022. It explores implementation in practice, looking at pilot schemes developed by local authorities involving digital technologies in five categories, and examine government policy statements to highlight the forms of technologies they promote. It also focuses on a shift in government policy towards localisation of technology use in care through the recently introduced integrated care systems (ICSs), and other changes in central government strategy – focusing on the consolidation of previously separate health and care digital transformation bodies. Lastly, it discusses the encouragement of private sector innovation by the governments in this period, the proliferation of equity-backed platforms, and the contribution this is making to the ‘financialisation’ of social care.