| Airedale NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Alder Hey Children's NHS Foundation Trust | NHS trust | Meditech | Live | |
| Aneurin Bevan University Health Board | Health board | Access (Servelec Rio) | Replacement signed — Access Group, January 2026 | |
| Ashford and St Peter's Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Avon and Wiltshire Mental Health Partnership NHS Trust | NHS trust | Access (Servelec Rio) | Live | |
| Barking, Havering and Redbridge University Hospitals NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Barnsley Hospital NHS Foundation Trust | NHS trust | System C | Live | |
| Barts Health NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Bedfordshire Hospitals NHS Foundation Trust | NHS trust | Nervecentre | Live | |
| Belfast Health and Social Care Trust | HSC trust | Epic | Live | |
| Berkshire Healthcare NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Betsi Cadwaladr University Health Board | Health board | DHCW WelshPAS | Live | |
| Birmingham Community Healthcare NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Birmingham Women's and Children's NHS Foundation Trust | NHS trust | Epic | Live | |
| Birmingham and Solihull Mental Health NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Black Country Healthcare NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Blackpool Teaching Hospitals NHS Foundation Trust | NHS trust | IMS MAXIMS | Live | |
| Bolton NHS Foundation Trust | NHS trust | Altera (Sunrise) | Live | |
| Bradford Teaching Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | 2030-03-31 |
| Bristol NHS Foundation Trust | NHS trust | System C | Live | |
| Buckinghamshire Healthcare NHS Trust | NHS trust | System C (CareFlow) | Live | 2026-04-30 |
| Calderdale and Huddersfield NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Cambridge University Hospitals NHS Foundation Trust | NHS trust | Epic | Renewed — F20 modification extending the 2013 Epic contract from 156 to 216 months; no new system | |
| Cambridgeshire and Peterborough NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Central London Community Healthcare NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Central and North West London NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Chelsea and Westminster Hospital NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Cheshire and Wirral Partnership NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Chesterfield Royal Hospital NHS Foundation Trust | NHS trust | Nervecentre | Live | |
| Cornwall Partnership NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Countess of Chester Hospital NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| County Durham and Darlington NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Coventry and Warwickshire Partnership NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Croydon Health Services NHS Trust | NHS trust | Oracle Health (Cerner) | Live | 2026-03-31 |
| Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Dartford and Gravesham NHS Trust | NHS trust | Alcidion | Live | |
| Derbyshire Community Health Services NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Derbyshire Healthcare NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Devon Partnership NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Dorset County Hospital NHS Foundation Trust | NHS trust | Epic | Implementing — replacement under way | |
| Dorset Healthcare University NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| East Cheshire NHS Trust | NHS trust | Meditech | Live | |
| East Kent Hospitals University NHS Foundation Trust | NHS trust | Altera | Live | |
| East Lancashire Hospitals NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| East London NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Renewed — UK10 contract change extending incumbent Access UK EPR service to 2029; supplier switch ruled impossible | |
| East Midlands Ambulance Service NHS Trust | NHS trust | Terrafix | Replacement signed — Insight Direct (UK) Limited, subcontracting to Terrafix Limited, July 2026 | 2031-07-14 |
| East Suffolk and North Essex NHS Foundation Trust | NHS trust | Epic | Live | 2030-03-31 |
| East Sussex Healthcare NHS Trust | NHS trust | Nervecentre | Replacement signed — Insight Direct (UK) Ltd, August 2025 | 2028-05-31 |
| East and North Hertfordshire NHS Trust | NHS trust | Dedalus | Live | 2027-07-07 |
| East of England Community Health and Care NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Epsom and St Helier University Hospitals NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Essex Partnership University NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Frimley Health NHS Foundation Trust | NHS trust | Epic | Live | |
| Gateshead Health NHS Foundation Trust | NHS trust | System C | Live | |
| George Eliot Hospital NHS Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Gloucestershire Health and Care NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Gloucestershire Hospitals NHS Foundation Trust | NHS trust | Altera | Live | |
| Great Ormond Street Hospital For Children NHS Foundation Trust | NHS trust | Epic | Live | |
| Great Western Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Greater Manchester Mental Health NHS Foundation Trust | NHS trust | Civica | Live | |
| Guy's and St Thomas' NHS Foundation Trust | NHS trust | Epic | Live | |
| Hampshire Hospitals NHS Foundation Trust | NHS trust | In-house (developed EPR) | Live | |
| Harrogate and District NHS Foundation Trust | NHS trust | Nervecentre | Live | |
| Herefordshire and Worcestershire Health and Care NHS Trust | NHS trust | Access (Servelec Rio) | Live | |
| Hertfordshire Community NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Hertfordshire Partnership University NHS Foundation Trust | NHS trust | Civica | Renewed — GBP 889k award re-signs incumbent Civica Paris EPR in use since 2011 | 2030-03-31 |
| Homerton Healthcare NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Hull University Teaching Hospitals NHS Foundation Trust | NHS trust | Dedalus | Replacement signed — Dedalus (DH OpCo UK Ltd), February 2026 | 2036-02-16 |
| Humber Teaching NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Imperial College Healthcare NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| James Paget University Hospitals NHS Foundation Trust | NHS trust | Meditech | Implementing — replacement under way | |
| Kent Community Health NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Kent and Medway Mental Health NHS Trust | NHS trust | Access (Servelec Rio) | Live | 2026-10-31 |
| King's College Hospital NHS Foundation Trust | NHS trust | Epic | Live | |
| Kingston and Richmond University NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Lancashire & South Cumbria NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Lancashire Teaching Hospitals NHS Foundation Trust | NHS trust | Harris | Live | |
| Leeds Community Healthcare NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Leicestershire Partnership NHS Trust | NHS trust | TPP (SystmOne) | Live | |
| Lewisham and Greenwich NHS Trust | NHS trust | Epic | Replacement signed — Epic, April 2026 | 2036-03-25 |
| Lincolnshire Community Health Services NHS Trust | NHS trust | TPP (SystmOne) | Renewed — five-year framework award to TPP to continue the SystmOne EPR the community trust already uses | 2030-03-31 |
| Lincolnshire Partnership NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Liverpool Heart and Chest Hospital NHS Foundation Trust | NHS trust | Altera | Live | 2029-08-07 |
| Liverpool University Hospitals NHS Foundation Trust | NHS trust | Nervecentre | Replacement signed — Nervecentre Software, May 2026 | 2036-03-22 |
| Liverpool Women's NHS Foundation Trust | NHS trust | Meditech | Live | |
| London Ambulance Service NHS Trust | NHS trust | Cleric Computer Services | Live | |
| London North West University Healthcare NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Maidstone and Tunbridge Wells NHS Trust | NHS trust | Altera | Live | |
| Manchester University NHS Foundation Trust | NHS trust | Epic | Live | |
| Medway NHS Foundation Trust | NHS trust | Altera | Live | |
| Mersey Care NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Mersey and West Lancashire Teaching Hospitals NHS Trust | NHS trust | System C | Live | |
| Mid Cheshire Hospitals NHS Foundation Trust | NHS trust | Meditech (Expanse) | Live | |
| Mid Yorkshire Teaching NHS Trust | NHS trust | Nervecentre | Replacement signed — Nervecentre, February 2026 | 2036-02-01 |
| Mid and South Essex NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Midlands Partnership University NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Milton Keynes University Hospital NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Moorfields Eye Hospital NHS Foundation Trust | NHS trust | Meditech | Replacement signed — Meditech, November 2024 | 2034-10-30 |
| NHS Grampian | Health board | InterSystems | Live | |
| NHS Greater Glasgow and Clyde | NHS trust | InterSystems | Live | |
| NHS Highland | Health board | InterSystems | Live | |
| NHS Lanarkshire | Health board | InterSystems | Live | |
| NHS Tayside | Health board | InterSystems | Live | |
| Norfolk and Norwich University Hospitals NHS Foundation Trust | NHS trust | Meditech (Expanse) | Implementing — replacement under way | 2030-12-11 |
| Norfolk and Suffolk NHS Foundation Trust | NHS trust | TPP (SystmOne) | Replacement signed — TPP, July 2026 | 2036-07-23 |
| North Cheshire and Mersey NHS Foundation Trust | NHS trust | Dedalus | Live | |
| North Cumbria Integrated Care NHS Foundation Trust | NHS trust | Alcidion | Live | 2035-02-19 |
| North East Ambulance Service NHS Foundation Trust | NHS trust | Cleric Computer Services | Live | |
| North East London NHS Foundation Trust | NHS trust | Access (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 Trust | NHS trust | Access (Servelec Rio) | Live | |
| North Staffordshire Combined Healthcare NHS Trust | NHS trust | Dedalus | Live | |
| North Tees and Hartlepool NHS Foundation Trust | NHS trust | InterSystems | Live | |
| North West Ambulance Service NHS Trust | NHS trust | Dedalus (OneResponse) | Live | |
| North West Anglia NHS Foundation Trust | NHS trust | System C | Live | 2029-07-21 |
| Northampton General Hospital NHS Trust | NHS trust | Nervecentre | Live | |
| Northamptonshire Healthcare NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Northern Care Alliance NHS Foundation Trust | NHS trust | Altera | Live | |
| Northern Health and Social Care Trust | HSC trust | Epic | Live | |
| Northern Lincolnshire and Goole NHS Foundation Trust | NHS trust | Dedalus (ORBIS U) | Implementing — replacement under way | |
| Northumbria Healthcare NHS Foundation Trust | NHS trust | Alcidion (Silverlink PCS) | Live | |
| Nottingham University Hospitals NHS Trust | NHS trust | Nervecentre | Live | |
| Nottinghamshire Healthcare NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Oxford Health NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Oxford University Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Oxleas NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Live | |
| Pennine Care NHS Foundation Trust | NHS trust | Civica | Live | |
| Portsmouth Hospitals University NHS Trust | NHS trust | Dedalus | Renewed — direct award without competition of support and maintenance for the trust's existing PAS (GBP 904k) | |
| Powys Teaching Health Board | Health board | Advanced (WCCIS) | Live | |
| Queen Victoria Hospital NHS Foundation Trust | NHS trust | Altera | Live | |
| Rotherham Doncaster and South Humber NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Royal Berkshire NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Royal Cornwall Hospitals NHS Trust | NHS trust | IMS MAXIMS | Live | |
| Royal Devon University Healthcare NHS Foundation Trust | NHS trust | Epic | Live | |
| Royal National Orthopaedic Hospital NHS Trust | NHS trust | Epic | Live | |
| Royal Papworth Hospital NHS Foundation Trust | NHS trust | Dedalus | Live | |
| Royal Surrey County Hospital NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Royal United Hospitals Bath NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Salisbury NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| Sandwell and West Birmingham Hospitals NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Sheffield Children's NHS Foundation Trust | NHS trust | System C | Live | |
| Sheffield Teaching Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | 2025-07-25 |
| Sherwood Forest Hospitals NHS Foundation Trust | NHS trust | Nervecentre | Replacement signed — Nervecentre Software, February 2026 | 2036-02-11 |
| Shropshire Community Health NHS Trust | NHS trust | Access (Servelec Rio) | Live | |
| Somerset NHS Foundation Trust | NHS trust | Epic | Replacement signed — Epic, March 2026 | 2036-03-11 |
| South Central Ambulance Service NHS Foundation Trust | NHS trust | Ortivus | Live | |
| South East Coast Ambulance Service NHS Foundation Trust | NHS trust | Cleric Computer Services | Live | 2026-09-05 |
| South Eastern H&SC Trust | HSC trust | Epic | Live | |
| South London and Maudsley NHS Foundation Trust | NHS trust | Advanced Health and Care | Live | 2032-10-31 |
| South Tees Hospitals NHS Foundation Trust | NHS trust | Alcidion | Live | |
| South Tyneside and Sunderland NHS Foundation Trust | NHS trust | Meditech | Live | |
| South Warwickshire University NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Implementing — replacement under way | |
| South West London and St George's Mental Health NHS Trust | NHS trust | Access (Servelec Rio) | Live | |
| South West Yorkshire Partnership NHS Foundation Trust | NHS trust | TPP (SystmOne) | Renewed — Jan 2026 award re-awards the incumbent SystmOne Mental Health EPR run since 2019 | |
| South Western Ambulance Service NHS Foundation Trust | NHS trust | Ortivus (MobiMed) | Live | |
| St George's University Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Stockport NHS Foundation Trust | NHS trust | Altera | Replacement signed — Altera Digital Health, March 2026 | 2036-03-10 |
| Surrey and Borders Partnership NHS Foundation Trust | NHS trust | TPP (SystmOne) | Renewed — award re-signs the incumbent SystmOne EPR run since before 2020 | 2034-10-02 |
| Surrey and Sussex Healthcare NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Sussex Community NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Sussex Partnership NHS Foundation Trust | NHS trust | TPP (SystmOne) | Replacement signed — TPP (SystmOne), December 2024 | 2035-02-28 |
| Swansea Bay University Health Board | Health board | DHCW WelshPAS | Live | |
| Tameside and Glossop Integrated Care NHS Foundation Trust (TGICFT) | NHS trust | Altera | Replacement signed — Altera Digital Health, March 2026 | 2036-03-11 |
| Tees, Esk and Wear Valleys NHS Foundation Trust | NHS trust | Access (Servelec Rio) | Implementing — replacement under way | |
| The Christie NHS Foundation Trust | NHS trust | In-house (Clinical Web Portal) | Live | |
| The Clatterbridge Cancer Centre NHS Foundation Trust | NHS trust | Meditech | Live | |
| The Dudley Group NHS Foundation Trust | NHS trust | Altera | Live | |
| The Hillingdon Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| The Leeds Teaching Hospitals NHS Trust | NHS trust | In-house (PPM+) | Live | |
| The Newcastle Upon Tyne Hospitals NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| The Princess Alexandra Hospital NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust | NHS trust | Meditech | Implementing — replacement under way | |
| The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | NHS trust | System C | Live | |
| The Rotherham NHS Foundation Trust | NHS trust | Meditech | Renewed — GBP 2.8m extension of the incumbent Meditech EPR to Mar 2028 explicitly to keep continuity while tendering for | 2028-03-18 |
| The Royal Free London NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| The Royal Marsden NHS Foundation Trust | NHS trust | Epic | Live | |
| The Royal Orthopaedic Hospital NHS Foundation Trust | NHS trust | InterSystems | Replacement signed — InterSystems, March 2026 | 2036-02-25 |
| The Royal Wolverhampton NHS Trust | NHS trust | System C | Live | |
| The Shrewsbury and Telford Hospital NHS Trust | NHS trust | System C | Live | |
| The Walton Centre NHS Foundation Trust | NHS trust | In-house | Live | |
| Torbay and South Devon NHS Foundation Trust | NHS trust | Epic | Live | |
| United Lincolnshire Teaching Hospitals NHS Trust | NHS trust | Nervecentre | Replacement signed — Nervecentre Software, June 2025 | 2035-06-16 |
| University College London Hospitals NHS FT | NHS trust | Epic | Renewed — Oct 2025 Epic award re-signs the incumbent Epic EHR run since 2019 | |
| University Hospital Southampton NHS Foundation Trust | NHS trust | In-house (CHARTS) | Live | |
| University Hospitals Birmingham NHS Foundation Trust | NHS trust | In-house (PICS) | Live | 2027-03-31 |
| University Hospitals Coventry and Warwickshire NHS Trust | NHS trust | Oracle Health (Cerner) | Live | |
| University Hospitals Dorset NHS Foundation Trust | NHS trust | Epic | Live | 2028-04-30 |
| University Hospitals Plymouth NHS Trust | NHS trust | Epic | Live | |
| University Hospitals Sussex NHS Foundation Trust | NHS trust | Alcidion | Replacement signed — Alcidion UK Ltd, May 2026 | 2033-05-20 |
| University Hospitals of Derby and Burton NHS Foundation Trust | NHS trust | Nervecentre | Implementing — replacement under way | |
| University Hospitals of Leicester NHS Trust | NHS trust | Nervecentre | Live | |
| University Hospitals of Morecambe Bay NHS Foundation Trust | NHS trust | Dedalus | Renewed — 3-year interim extension of the current Dedalus contract after a failed re-procurement | |
| University Hospitals of North Midlands NHS Trust | NHS trust | System C | Live | |
| Velindre NHS Trust | NHS trust | DHCW WelshPAS | Live | |
| Walsall Healthcare NHS Trust | NHS trust | System C | Live | |
| Welsh Ambulance Services NHS Trust | NHS trust | Terrafix | Live | |
| West Hertfordshire Teaching Hospitals NHS Trust | NHS trust | Oracle Health (Cerner) | Live | 2025-03-25 |
| West London NHS Trust | NHS trust | Access (Servelec Rio) | Live | |
| West Midlands Ambulance Service University NHS Foundation Trust | NHS trust | Cleric Computer Services | Live | 2027-03-31 |
| West Suffolk NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Renewed with Oracle — October 2024 | 2034-07-24 |
| Western Health & Social Care Trust | HSC trust | Epic | Live | |
| Whittington Health | NHS trust | System C | Renewed — novation of the existing Access community sub-contract into a direct contract; same supplier and system | 2028-04-30 |
| Wirral Community Health and Care NHS Foundation Trust | NHS trust | TPP (SystmOne) | Live | |
| Wirral University Teaching Hospital NHS Foundation Trust | NHS trust | Oracle Health (Cerner) | Live | |
| Worcestershire Acute Hospitals NHS Trust | NHS trust | Altera | Live | |
| Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust | NHS trust | Altera | Live | |
| Wye Valley NHS Trust | NHS trust | IMS MAXIMS | Live | |
| York and Scarborough Teaching Hospitals NHS Foundation Trust | NHS trust | Nervecentre | Live | 2034-10-13 |
| Yorkshire Ambulance Service NHS Trust | NHS trust | In-house (YAS ePR) | Live | |
| Cardiff and Vale University Health Board | Health board | not yet verified | | |
| Cwm Taf Morgannwg University Health Board | Health board | not yet verified | | |
| Dumfries and Galloway Health Board | Health board | not yet verified | | |
| East of England Ambulance Service NHS Trust | NHS trust | not yet verified | | |
| Hampshire and Isle of Wight Healthcare NHS Foundation Trust | NHS trust | not yet verified | | |
| Hywel Dda University Health Board | Health board | not yet verified | | |
| Isle of Wight NHS Trust | NHS trust | not yet verified | | |
| Kettering General Hospital NHS Foundation Trust | NHS trust | not yet verified | | |