Nottingham University Hospitals introduces bedside fit notes
- 27 May 2025
- Clinicians at Nottingham University Hospitals NHS Trust can now issue electronic fit notes directly from the Nervecentre EPR, following the introduction of eMED3 functionality
- Fit notes can be generated at the patientās bedside, removing the need for a follow-up GP appointment
- NUH is among the first trusts in England to implement this feature within a live EPR, according to Nervecentre
Clinicians at Nottingham University Hospitals NHS Trust (NUH) can now issue electronic fit notes directly from the Nervecentre electronic patient record (EPR), following the rollout of eMED3 functionality.
The integration allows staff to generate and provide fit notes at the patientās bedside, without the need for separate systems or paperwork, whichĀ is expected to ease administrative demand on general practice by reducing follow-up GP appointments.
Husein Mawji, clinical director at Nottingham City Place-Based Partnership, said: “The successful launch of the ability of NUH clinicians to issue eMED3 fit notes to patients from Nervecentre is extremely welcome news for primary care and should result in a reduction of work transfer to general practice colleagues and save patient time and effort.”
“This functionality has been made possible by the collaboration of our Primary and Secondary Care Partnership, which continues to seek ways to reduce wasted time and effort across the primary/secondary care interface.”
The first electronic eMED3 fit note at the trust was issued on 25 April 2025.
England, Wales and Scotland introduced the Med3 form or ‘fit note’ in April 2010 to enable healthcare professionals to give advice to their patients about the impact of their health condition on their fitness for work and provide medical evidence for employers or support a claim to health-related benefits.
Nervecentre received eMED3 compliance in July 2024Ā and NUH is among the first trusts nationally to implement the feature within its live EPR.
Jeremy Lewis, chief clinical information officer at NUH, said: “Introducing eMED3 in Nervecentre is a real win-win. It streamlines the workflow for clinicians.
“Patient details and diagnoses are pulled straight from the record, and we can issue a fit note in seconds at the bedside.
“No more searching for a pad of notes locked up somewhere.
“For patients, it means a clear, legible document that can be emailed or printed on the spot.
“Ultimately, this lets us spend less time on administration and more time delivering clinical care, which is what Nervecentre is all about.”
NUH adopted the Nervecentre EPR in February 2024, joining a growing number of NHS trusts to have adopted its system since its launch in June 2018.Ā
The trust is also running Nervecentre’s electronic prescribing and medicines administration solution, which it introduced to City Hospital and Queenās Medical Centre in June 2023.
Meanwhile, University Hospitals of Derby and Burton Foundation Trust and Chesterfield Royal Hospital Foundation Trust went live with the Nervecentre EPR in March 2025.
