Many National Health Service Breast Screening Programme Screening Services are changing from analogue to digital technology. Coventry was the first Screening Service to screen digitally on a mobile unit. There are several factors that need to be considered when planning to staff and equip a Full-field Digital Mammography Breast Screening Service. In view of the planned age expansion announced in the Cancer Reform Strategy, most units will need to consider planning for these changes. These considerations will include our local experience of drivers for change, workforce planning, managing extended working days, maintaining screening-round length, and some equipment issues.