EPRindex
Evidence to 8 September 2026 · updated weekdays

Who runs what

Every NHS organisation’s patient record system, on one map — and who’s switching. Public record only, every claim linked.

216mapped
214verified
31switching
16renewing
shown
A dark ring = switching (a replacement signed or a tender live). A grey dashed ring = renewing (the incumbent re-signed). Small grey dots are not yet verified. Tap any dot.

Tap any dot

What it runs, since when, the rest of its estate, and the latest public record there — board papers, notices, job adverts, all linked.

2 of 216 organisations aren’t verified yet. They’re the small grey dots. Know what one of them runs? Tell us → Every claim on this map links to the notice, board paper or record behind it.
The pipeline — what’s coming dated events
Go-live (planned — planned dates slip)   Core contract ends   Procurement open (at the date it opened)  —  colour is the system supplier. Click any dot for the trust.
Latest from board papers
2026-09-03Royal Cornwall Hospitals NHS Trust Delayed implementation affecting risk and assurance arrangements reported through the Board Assurance Framework source →
2026-09-03Royal Cornwall Hospitals NHS Trust Ongoing patching, network security controls and assurance work to protect clinical systems source →
2026-08-13Tees, Esk and Wear Valleys NHS Foundation Trust Programme reported on track through mobilisation and planning, with Rio roadshows from August to support readiness source →
2026-08-13Tees, Esk and Wear Valleys NHS Foundation Trust Low ethnicity recording limits ability to draw conclusions on access, outcomes and inequalities; data capture to be designed into new EPR source →
2026-08-13Tees, Esk and Wear Valleys NHS Foundation Trust External assurance commissioned over the EPR programme source →
2026-08-01Norfolk and Suffolk NHS Foundation Trust Poor data migration to the new EPR could compromise care; risk scored 16 on the corporate risk register source →
2026-08-01Norfolk and Suffolk NHS Foundation Trust Incomplete patient records, risk to patient safety and financial loss from non-recording of activity; risk rated 16 against a target of 12 by end 2026/27 source →
2026-08-01Norfolk and Suffolk NHS Foundation Trust Training gap identified as a control weakness for migration and adoption of the new EPR source →
2026-08-01Norfolk and Suffolk NHS Foundation Trust Digital innovation risk score cannot be reduced below 12 because the EPR will not be live until later in 2027 source →
2026-08-01Norfolk and Suffolk NHS Foundation Trust No reduction in digital transformation risk score expected by March 2027 as no impact of change will be visible source →
Latest tenders & awards
2026-09-08award University Hospitals of Leicester NHS Trust Contract for the Provision of a Maternity System · £436,616 notice →
2026-09-08award Liverpool University Hospitals NHS Foundation Trust Integration Engine and Technical Expertise notice →
2026-09-08planning Sheffield Health Partnership University NHS Foundation Trust PN426 Electronic Prescribing System ESP · £440,000 notice →
2026-09-07award University Hospitals of Leicester NHS Trust Occupational Health EPR · £145,710 notice →
2026-09-07award Medway NHS Foundation Trust EPR - Testing Delivery Service · £509,080 notice →
2026-09-04award Lincolnshire Community Health Services NHS Trust EPR Clinical Safety Support notice →
2026-09-04tender South Tees Hospitals NHS Foundation Trust Digital Consent and Sharing Decision Making Solution · £135,018 notice →
2026-09-04tender West Northamptonshire Council PACS Solution for New CT Post-Mortem Service · £85,000 notice →
2026-09-04award West Suffolk NHS Foundation Trust WSFT - IT - Phoenix Volume Services Agreement (VSA) · £25,000 notice →
2026-09-03planning North West Ambulance Service NHS Trust Integrated Core Systems (ICS) · £19.3m notice →
The full list — every organisation and what it runs
OrganisationTypeCore EPRStatusContract end
Airedale NHS Foundation TrustNHS trustTPP (SystmOne)Live
Alder Hey Children's NHS Foundation TrustNHS trustMeditechLive
Aneurin Bevan University Health BoardHealth boardAccess (Servelec Rio)Replacement signed — Access Group, January 2026
Ashford and St Peter's Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Avon and Wiltshire Mental Health Partnership NHS TrustNHS trustAccess (Servelec Rio)Live
Barking, Havering and Redbridge University Hospitals NHS TrustNHS trustOracle Health (Cerner)Live
Barnsley Hospital NHS Foundation TrustNHS trustSystem CLive
Barts Health NHS TrustNHS trustOracle Health (Cerner)Live
Bedfordshire Hospitals NHS Foundation TrustNHS trustNervecentreLive
Belfast Health and Social Care TrustHSC trustEpicLive
Berkshire Healthcare NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Betsi Cadwaladr University Health BoardHealth boardDHCW WelshPASLive
Birmingham Community Healthcare NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Birmingham Women's and Children's NHS Foundation TrustNHS trustEpicLive
Birmingham and Solihull Mental Health NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Black Country Healthcare NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Blackpool Teaching Hospitals NHS Foundation TrustNHS trustIMS MAXIMSLive
Bolton NHS Foundation TrustNHS trustDedalusLive
Bradford Teaching Hospitals NHS Foundation TrustNHS trustTPP (SystmOne)Live2030-03-31
Bristol NHS Foundation TrustNHS trustSystem CLive
Buckinghamshire Healthcare NHS TrustNHS trustAccess (Servelec Rio)Live2029-01-26
Calderdale and Huddersfield NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Cambridge University Hospitals NHS Foundation TrustNHS trustEpicRenewed — F20 modification extending the 2013 Epic contract from 156 to 216 months; no new system
Cambridgeshire and Peterborough NHS Foundation TrustNHS trustTPP (SystmOne)Live
Cardiff and Vale University Health BoardHealth boardInterSystemsLive2028-12-17
Central London Community Healthcare NHS TrustNHS trustTPP (SystmOne)Live
Central and North West London NHS Foundation TrustNHS trustTPP (SystmOne)Live
Chelsea and Westminster Hospital NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Cheshire and Wirral Partnership NHS Foundation TrustNHS trustTPP (SystmOne)Live
Chesterfield Royal Hospital NHS Foundation TrustNHS trustNervecentreLive
Cornwall Partnership NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Countess of Chester Hospital NHS Foundation TrustNHS trustMeditechLive
County Durham and Darlington NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Coventry and Warwickshire Partnership NHS TrustNHS trustTPP (SystmOne)Live
Croydon Health Services NHS TrustNHS trustOracle Health (Cerner)Live2026-03-31
Cumbria, Northumberland, Tyne and Wear NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Cwm Taf Morgannwg University Health BoardHealth boardImosphereLive
Dartford and Gravesham NHS TrustNHS trustAlcidionLive
Derbyshire Community Health Services NHS Foundation TrustNHS trustTPP (SystmOne)Live
Derbyshire Healthcare NHS Foundation TrustNHS trustTPP (SystmOne)Live
Devon Partnership NHS TrustNHS trustTPP (SystmOne)Live
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Dorset County Hospital NHS Foundation TrustNHS trustEpicImplementing — replacement under way
Dorset Healthcare University NHS Foundation TrustNHS trustTPP (SystmOne)Live
East Cheshire NHS TrustNHS trustMeditechLive
East Kent Hospitals University NHS Foundation TrustNHS trustAlteraLive
East Lancashire Hospitals NHS TrustNHS trustOracle Health (Cerner)Live
East London NHS Foundation TrustNHS trustTPP (SystmOne)Renewed — UK10 contract change extending incumbent Access UK EPR service to 2029; supplier switch ruled impossible
East Midlands Ambulance Service NHS TrustNHS trustTerrafixReplacement signed — Insight Direct (UK) Limited, subcontracting to Terrafix Limited, July 20262031-07-14
East Suffolk and North Essex NHS Foundation TrustNHS trustEpicLive2030-03-31
East Sussex Healthcare NHS TrustNHS trustTPP (SystmOne)Replacement signed — Insight Direct (UK) Ltd, August 20252034-07-22
East and North Hertfordshire NHS TrustNHS trustDedalusLive2027-07-07
East of England Community Health and Care NHS TrustNHS trustTPP (SystmOne)Live
Epsom and St Helier University Hospitals NHS TrustNHS trustOracle Health (Cerner)Live
Essex Partnership University NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Frimley Health NHS Foundation TrustNHS trustEpicLive
Gateshead Health NHS Foundation TrustNHS trustSystem CLive
George Eliot Hospital NHS TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Gloucestershire Health and Care NHS Foundation TrustNHS trustTPP (SystmOne)Live
Gloucestershire Hospitals NHS Foundation TrustNHS trustAlteraLive
Great Ormond Street Hospital For Children NHS Foundation TrustNHS trustEpicLive
Great Western Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Greater Manchester Mental Health NHS Foundation TrustNHS trustCivicaLive
Guy's and St Thomas' NHS Foundation TrustNHS trustEpicLive
Hampshire Hospitals NHS Foundation TrustNHS trustIn-house (developed EPR)Live
Hampshire and Isle of Wight Healthcare NHS Foundation TrustNHS trustTPP (SystmOne)Live
Harrogate and District NHS Foundation TrustNHS trustNervecentreLive
Herefordshire and Worcestershire Health and Care NHS TrustNHS trustAccess (Servelec Rio)Live
Hertfordshire Community NHS TrustNHS trustTPP (SystmOne)Live
Hertfordshire Partnership University NHS Foundation TrustNHS trustCivicaRenewed — GBP 889k award re-signs incumbent Civica Paris EPR in use since 20112030-03-31
Homerton Healthcare NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Hull University Teaching Hospitals NHS Foundation TrustNHS trustDedalusReplacement signed — Dedalus (DH OpCo UK Ltd), February 20262036-02-16
Humber Teaching NHS Foundation TrustNHS trustTPP (SystmOne)Live
Hywel Dda University Health BoardHealth boardEMISLive
Imperial College Healthcare NHS TrustNHS trustOracle Health (Cerner)Live
Isle of Wight NHS TrustNHS trustCGI (e-CareLogic)Live
James Paget University Hospitals NHS Foundation TrustNHS trustMeditechImplementing — replacement under way
Kent Community Health NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Kent and Medway Mental Health NHS TrustNHS trustAccess (Servelec Rio)Live2026-10-31
Kettering General Hospital NHS Foundation TrustNHS trustNervecentreImplementing — replacement under way
King's College Hospital NHS Foundation TrustNHS trustEpicLive
Kingston and Richmond University NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Lancashire & South Cumbria NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Lancashire Teaching Hospitals NHS Foundation TrustNHS trustHarrisLive
Leeds Community Healthcare NHS TrustNHS trustTPP (SystmOne)Live
Leicestershire Partnership NHS TrustNHS trustTPP (SystmOne)Live
Lewisham and Greenwich NHS TrustNHS trustEpicReplacement signed — Epic, April 20262036-03-25
Lincolnshire Community Health Services NHS TrustNHS trustTPP (SystmOne)Renewed — five-year framework award to TPP to continue the SystmOne EPR the community trust already uses2030-03-31
Lincolnshire Partnership NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Liverpool Heart and Chest Hospital NHS Foundation TrustNHS trustAlteraLive2029-08-07
Liverpool University Hospitals NHS Foundation TrustNHS trustNervecentreReplacement signed — Nervecentre Software, May 20262036-03-22
Liverpool Women's NHS Foundation TrustNHS trustMeditechLive
London Ambulance Service NHS TrustNHS trustCleric Computer ServicesLive
London North West University Healthcare NHS TrustNHS trustOracle Health (Cerner)Live
Maidstone and Tunbridge Wells NHS TrustNHS trustAlteraLive
Manchester University NHS Foundation TrustNHS trustEMISRenewed — EMIS Web Community licences where EMIS is the deployed community EPR; Epic Hive unaffected2027-07-04
Medway NHS Foundation TrustNHS trustAlteraLive
Mersey Care NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Mersey and West Lancashire Teaching Hospitals NHS TrustNHS trustSystem CLive
Mid Cheshire Hospitals NHS Foundation TrustNHS trustSilverlink SoftwareLive
Mid Yorkshire Teaching NHS TrustNHS trustNervecentreReplacement signed — Nervecentre, February 20262036-02-01
Mid and South Essex NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Midlands Partnership University NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Milton Keynes University Hospital NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Moorfields Eye Hospital NHS Foundation TrustNHS trustMeditechReplacement signed — Meditech, November 20242034-10-30
NHS GrampianHealth boardInterSystemsLive
NHS Greater Glasgow and ClydeNHS trustInterSystemsLive
NHS HighlandHealth boardInterSystemsLive
NHS LanarkshireHealth boardInterSystemsLive
NHS TaysideHealth boardInterSystemsLive
Norfolk and Norwich University Hospitals NHS Foundation TrustNHS trustMeditechLive2030-12-11
Norfolk and Suffolk NHS Foundation TrustNHS trustTPP (SystmOne)Replacement signed — TPP, July 20262036-07-23
North Cheshire and Mersey NHS Foundation TrustNHS trustDedalusLive
North Cumbria Integrated Care NHS Foundation TrustNHS trustAlcidionRenewed — direct-award 2.5-year extension of the existing EMIS community EPR; original arrangement from 20192035-02-19
North East Ambulance Service NHS Foundation TrustNHS trustCleric Computer ServicesLive
North East London NHS Foundation TrustNHS trustAccess (Servelec Rio)Renewed — VEAT notice extending the existing Rio support contract pending a planned NEL multi-trust EPR procurement in 2
North London NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
North Staffordshire Combined Healthcare NHS TrustNHS trustDedalusLive
North Tees and Hartlepool NHS Foundation TrustNHS trustInterSystemsLive
North West Ambulance Service NHS TrustNHS trustIn-house (OneResponse)Live
North West Anglia NHS Foundation TrustNHS trustSystem CLive2029-07-21
Northampton General Hospital NHS TrustNHS trustNervecentreLive
Northamptonshire Healthcare NHS Foundation TrustNHS trustTPP (SystmOne)Live
Northern Care Alliance NHS Foundation TrustNHS trustAlteraLive
Northern Health and Social Care TrustHSC trustEpicLive
Northern Lincolnshire and Goole NHS Foundation TrustNHS trustIn-house (WebV)Live
Northumbria Healthcare NHS Foundation TrustNHS trustSystem CLive
Nottingham University Hospitals NHS TrustNHS trustNervecentreLive
Nottinghamshire Healthcare NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Oxford Health NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Oxford University Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Oxleas NHS Foundation TrustNHS trustAccess (Servelec Rio)Live
Pennine Care NHS Foundation TrustNHS trustCivicaLive
Portsmouth Hospitals University NHS TrustNHS trustDedalusRenewed — direct award without competition of support and maintenance for the trust's existing PAS (GBP 904k)
Powys Teaching Health BoardHealth boardAdvanced (WCCIS)Live
Queen Victoria Hospital NHS Foundation TrustNHS trustAlteraLive
Rotherham Doncaster and South Humber NHS Foundation TrustNHS trustTPP (SystmOne)Live
Royal Berkshire NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Royal Cornwall Hospitals NHS TrustNHS trustIMS MAXIMSLive
Royal Devon University Healthcare NHS Foundation TrustNHS trustEpicLive
Royal National Orthopaedic Hospital NHS TrustNHS trustEpicLive
Royal Papworth Hospital NHS Foundation TrustNHS trustDedalusLive
Royal Surrey County Hospital NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Royal United Hospitals Bath NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Salisbury NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
Sandwell and West Birmingham Hospitals NHS TrustNHS trustOracle Health (Cerner)Live
Sheffield Children's NHS Foundation TrustNHS trustSystem CLive
Sheffield Teaching Hospitals NHS Foundation TrustNHS trustTPP (SystmOne)Renewed — pipeline notice for re-procurement of the incumbent SystmOne clinical information system; not a core acute eve2025-07-25
Sherwood Forest Hospitals NHS Foundation TrustNHS trustNervecentreReplacement signed — Nervecentre Software, February 20262036-02-11
Shropshire Community Health NHS TrustNHS trustAccess (Servelec Rio)Live
Somerset NHS Foundation TrustNHS trustEpicReplacement signed — Epic, March 20262036-03-11
South Central Ambulance Service NHS Foundation TrustNHS trustOrtivusLive
South East Coast Ambulance Service NHS Foundation TrustNHS trustCleric Computer ServicesLive2026-09-05
South Eastern H&SC TrustHSC trustEpicLive
South London and Maudsley NHS Foundation TrustNHS trustAdvanced Health and CareLive2032-10-31
South Tees Hospitals NHS Foundation TrustNHS trustAlcidionLive
South Tyneside and Sunderland NHS Foundation TrustNHS trustMeditechLive
South Warwickshire University NHS Foundation TrustNHS trustOracle Health (Cerner)Implementing — replacement under way
South West London and St George's Mental Health NHS TrustNHS trustAccess (Servelec Rio)Live
South West Yorkshire Partnership NHS Foundation TrustNHS trustTPP (SystmOne)Renewed — Jan 2026 award re-awards the incumbent SystmOne Mental Health EPR run since 2019
South Western Ambulance Service NHS Foundation TrustNHS trustEngeneumLive
St George's University Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Stockport NHS Foundation TrustNHS trustAlteraReplacement signed — Altera Digital Health, March 20262036-03-10
Surrey and Borders Partnership NHS Foundation TrustNHS trustTPP (SystmOne)Renewed — award re-signs the incumbent SystmOne EPR run since before 20202034-10-02
Surrey and Sussex Healthcare NHS TrustNHS trustOracle Health (Cerner)Live
Sussex Community NHS Foundation TrustNHS trustTPP (SystmOne)Live
Sussex Partnership NHS Foundation TrustNHS trustTPP (SystmOne)Replacement signed — TPP (SystmOne), December 20242035-02-28
Swansea Bay University Health BoardHealth boardDHCW WelshPASLive
Tees, Esk and Wear Valleys NHS Foundation TrustNHS trustAccess (Servelec Rio)Implementing — replacement under way
The Christie NHS Foundation TrustNHS trustIn-house (Clinical Web Portal)Live
The Clatterbridge Cancer Centre NHS Foundation TrustNHS trustMeditechLive
The Dudley Group NHS Foundation TrustNHS trustAlteraLive
The Hillingdon Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Live
The Leeds Teaching Hospitals NHS TrustNHS trustIn-house (PPM+)Live
The Newcastle Upon Tyne Hospitals NHS Foundation TrustNHS trustOracle Health (Cerner)Live
The Princess Alexandra Hospital NHS TrustNHS trustOracle Health (Cerner)Live
The Queen Elizabeth Hospital, King's Lynn, NHS Foundation TrustNHS trustMeditechImplementing — replacement under way
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation TrustNHS trustSystem CLive
The Rotherham NHS Foundation TrustNHS trustMeditechRenewed — GBP 2.8m extension of the incumbent Meditech EPR to Mar 2028 explicitly to keep continuity while tendering for2028-03-18
The Royal Free London NHS Foundation TrustNHS trustSystem CLive2028-06-27
The Royal Marsden NHS Foundation TrustNHS trustEpicLive
The Royal Orthopaedic Hospital NHS Foundation TrustNHS trustInterSystemsReplacement signed — InterSystems, March 20262036-02-25
The Royal Wolverhampton NHS TrustNHS trustSystem CLive
The Shrewsbury and Telford Hospital NHS TrustNHS trustSystem CLive
The Walton Centre NHS Foundation TrustNHS trustNervecentreImplementing — replacement under way
Torbay and South Devon NHS Foundation TrustNHS trustEpicLive
United Lincolnshire Teaching Hospitals NHS TrustNHS trustNervecentreReplacement signed — Nervecentre Software, June 20252035-06-16
University College London Hospitals NHS FTNHS trustEpicRenewed — Oct 2025 Epic award re-signs the incumbent Epic EHR run since 2019
University Hospital Southampton NHS Foundation TrustNHS trustIn-house (CHARTS)Live
University Hospitals Birmingham NHS Foundation TrustNHS trustTPP (SystmOne)Live2027-03-31
University Hospitals Coventry and Warwickshire NHS TrustNHS trustOracle Health (Cerner)Live
University Hospitals Dorset NHS Foundation TrustNHS trustEpicLive2028-04-30
University Hospitals Plymouth NHS TrustNHS trustEpicLive
University Hospitals Sussex NHS Foundation TrustNHS trustAlcidionReplacement signed — Alcidion UK Ltd, May 20262033-05-20
University Hospitals of Derby and Burton NHS Foundation TrustNHS trustInterSystemsLive
University Hospitals of Leicester NHS TrustNHS trustNervecentreLive
University Hospitals of Morecambe Bay NHS Foundation TrustNHS trustDedalusRenewed — 3-year interim extension of the current Dedalus contract after a failed re-procurement
University Hospitals of North Midlands NHS TrustNHS trustSystem CLive
Velindre NHS TrustNHS trustDHCW WelshPASLive
Walsall Healthcare NHS TrustNHS trustSystem CLive
Welsh Ambulance Services NHS TrustNHS trustTerrafixLive
West Hertfordshire Teaching Hospitals NHS TrustNHS trustOracle Health (Cerner)Live
West London NHS TrustNHS trustAccess (Servelec Rio)Live
West Midlands Ambulance Service University NHS Foundation TrustNHS trustCleric Computer ServicesLive2027-03-31
West Suffolk NHS Foundation TrustNHS trustOracle Health (Cerner)Renewed with Oracle — October 20242034-07-24
Western Health & Social Care TrustHSC trustEpicLive
Whittington HealthNHS trustSystem CRenewed — novation of the existing Access community sub-contract into a direct contract; same supplier and system2028-04-30
Wirral Community Health and Care NHS Foundation TrustNHS trustTPP (SystmOne)Live
Wirral University Teaching Hospital NHS Foundation TrustNHS trustOracle Health (Cerner)Live
Worcestershire Acute Hospitals NHS TrustNHS trustAlteraLive
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation TrustNHS trustAlteraLive
Wye Valley NHS TrustNHS trustIMS MAXIMSLive
York and Scarborough Teaching Hospitals NHS Foundation TrustNHS trustRioMedLive2029-03-19
Yorkshire Ambulance Service NHS TrustNHS trustIn-house (YAS ePR)Live
Dumfries and Galloway Health BoardHealth boardnot yet verified
East of England Ambulance Service NHS TrustNHS trustnot yet verified