Nottingham Hospitals EPR fully functioning after issues resolved

Nottingham University Hospitals NHS Trust (NUH) has announced that its electronic patient record (EPR) is fully functioning, following a critical incident shortly after go-live.

The EPR from Nervecentre went live at NUH on 3 November 2025 aa part of a 10-year partnership, but the trust declared a critical incident soon after deployment because of sustained pressures in the emergency room.

Issues with the technical roll out of the EPR “added to the ability to manage the current levels of pressure,” the trust said at the time.

NUH said in a press release: “When the Nervecentre systems went live on Monday 3 November, we experienced a slower than expected performance.

“However, we worked closely with our partners at Nervecentre to resolve the performance issues in order to rapidly restore stability to the EPR system across NUH.”

It added that during 2026, NUH will begin to introduce further functions on Nervecentre, such as the Patient Centre module, which allows patients to get more involved in their own care using digital tools.

Mark Simmonds, deputy medical director and clinical lead for the EPR programme at NUH, said: “It is always a balance of risk when introducing new technology in healthcare, but we are pleased to have implemented a functioning EPR that forms part of our digital transformation to continuously improve the way we deliver and manage patient care.

“Despite our initial challenges, teams across NUH are getting stuck in and learning a new way of working.

“There is a lot more work to do but this is an exciting start to our digital transformation with the delivery of quality patient care at its heart.”

Some elements of Nervecentre were already in use at NUH within inpatient services, and it has now also expanded to administration, theatres and outpatients elements of the EPR.

Andy Callow, chief digital and transformation officer at NUH, said: “The launch of our new EPR is a significant milestone in our digital journey, and one that we are all very proud of.

“This is an exciting opportunity for our staff to use the latest technology to support with creating a more efficient service for our patients by streamlining processes and communication channels.”

More than 300 volunteer ‘EPR connectors’ have supported the deployment with peer-to-peer engagement and advocacy, sharing information about the programme and helping to test system functionality ahead of go-live.

EPR Connector Precious Osondu, staff nurse in pre-operative assessment, said: “Whilst we are already seeing the benefits of our new EPR, the days following go-live were challenging.

“During this period, the role of EPR Connectors played a vital role in sharing feedback and communicating between frontline and digital teams.”

Commenting on the EPR go-live, Dermot Ryan, director of digital transformation at NHS England, said:  “This milestone is testament to extraordinary commitment and effort from everyone involved and lays important digital foundations for innovative technologies that further support clinical practice, unlock productivity, and enhance patient care.”