Legacy .NET System Modernisation for a Healthcare Platform

Incrementally modernised a .NET Framework monolith serving clinical workflows for 12,000+ users without disrupting daily operations.

The Challenge

A healthcare software platform built on .NET Framework 4.5 faced mounting technical debt, security vulnerabilities, and inability to deploy features at the pace the market demanded. A full rewrite was too risky; the organisation needed a phased modernisation approach.

Our Approach

Our .NET development agency applied the strangler-fig pattern—extracting bounded contexts into .NET 8 microservices behind an API gateway, containerising services on Azure Kubernetes Service, and building comprehensive automated test suites to protect clinical workflows throughout migration.

Outcomes

  • 60% of monolith functionality migrated to modern .NET 8 services
  • Deployment frequency increased from quarterly to bi-weekly releases
  • Zero unplanned downtime during the 18-month modernisation program
  • Cloud-ready architecture supporting future Azure-native capabilities
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