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IT Clinical Systems

Reference: 25-26432

Date response sent: 19/01/2026

Details of enquiry

I am writing under the Freedom of Information Act 2000 to request information on clinical IT systems used across hospitals within the Trust. Specifically, I am seeking details across three categories of systems (systems definition provided below):

  • Electronic Patient Record (EPR) systems
  • Patient Administration Systems (PAS)
  • Other Clinical IT systems (e.g., PACS, RIS, LIS etc.)

Type A:  EPR (Electronic Patient Record) systems

  1. Total spend on the core EPR system in each Hospital across the Trust in 2024? (ongoing run costs only; please exclude implementation if still in progress in any of the hospitals)
  2. For eachhospital, in a tabular format, please provide:
    1. Name of the core EPR system used (e.g., EPIC, Cerner, SystemC, Nervecentre, Dedalus, other)?
    2. Annual cost in 2024 for the EPR system, broken down into:
      1. Total cost
      2. Software license
      3. Maintenance
      4. Professional services
      5. Others
    3. Scope of the contract (i.e., which additional clinical modules are included)
    4. If available, spend broken down by for the core EPR system and each additional module separately
  3. For the most recent EPR implementation (in each respective hospital), please provide the following information in a tabular format:
    1. Tender date
    2. Contract start and end date
    3. Whether the contract is annually renewed
    4. Planned final implementation date
    5. Which provider the hospital used previously
    6. Total budget and its components
      1. Total value of contract (£)
      2. Contract term
      3. Software license fees (upfront and ongoing)
      4. Annual contracted pricing growth
      5. Implementation fees
      6. Allowance for new features / development (if any) – e.g., committed budget for new software features / development which is not yet identified
      7. Internal training / resources / etc. as relevant
    7. Procurement framework used
    8. Other systems integrated with the EPR
    9. Department(s) that provided the funding
      1. % of ERP budget comes from the ICB vs. Trust vs. others (please specify name)
    10. Planned date to kick off next tender process
      1. Whether there are plans to replace the system

Type B:  PAS (Patient Administration) systems

  1. Total spend on PAS systems in each Hospital across the Trust in 2024? (ongoing run costs only)
  2. For eachhospital, in a tabular format:
    1. Name of the PAS system used / provider (e.g., EPIC, Cerner, SystemC, Nervecentre, Dedalus)?
    2. Annual cost for the PAS system, broken down into:
      1. Total cost
      2. Software license
      3. Maintenance
      4. Professional services
      5. Others
    3. Procurement framework used
    4. Contract start and end date
    5. Other systems integrated with the PAS

Type C: Other HC Clinical IT systems like Medical imaging (PACS), Radiology Information System (RIS), Laboratory Information Systems (LIS), etc.

  1. Total spend for each “Other Clinical IT system”in each Hospital across the Trust in 2024? (ongoing run costs only)
  2. For eachhospital, in a tabular format:
    1. Which PACS/LIS/RIS/Other system provider does the hospital use respectively (e.g., Sectra, Cris, Clinisys)?
    2. Annual cost for the PACS/LIS/RIS/Other system, broken into:
      1. Total cost
      2. Software license
      3. Maintenance
      4. Professional services
      5. Others
    3. Procurement framework used
    4. Contract start and end date for each supplier

Systems Definition

  • Electronic Patient Record (EPR)provides comprehensive digital systems for hospitals and healthcare providers to manage patient data, streamline workflows, and improve care delivery through features like clinical documentation, patient portals, billing, and interoperability.
  • Patient Administration Systems (PAS)are core administrative systems used to manage demographic information, patient pathways, appointment booking, RTT, referrals, waiting lists, scheduling, admissions, and discharge etc.
  • Other Clinical IT Systems cover specialist clinical systems that support diagnostic, imaging, and laboratory workflows. These typically include:
    • PACS (Picture Archiving and Communication System): medical imaging storage, viewing, and reporting
    • RIS (Radiology Information System): radiology workflow management
    • LIS (Laboratory Information System): pathology test ordering, processing, and result management
    • Other specialist systems used within clinical departments (radiology, pathology, cardiology, etc.)

Response sent

Type A:  EPR (Electronic Patient Record) systems

  1. Total spend on the core EPR system in each Hospital across the Trust in 2024?

The Trust’s EPR system is Carenotes, and contractual details are publicly available on the Trust’s Contracts register which may be reached via this link:  Contracts register – Tavistock and Portman

  1. For eachhospital, in a tabular format, please provide:
    1. Name of the core EPR system used (e.g., EPIC, Cerner, SystemC, Nervecentre, Dedalus, other)?

Carenotes, supplied by One Advanced.

 

  1. Annual cost in 2024 for the EPR system, broken down into:
    1. Total Cost

Total Costs in 2024:  £177,063

  1. Annual cost in 2024 for the EPT system, broken down into:
    1. Total cost

£71,150

  1. Software License

£138,755

  1. Maintenance

£14,592

  1. Scope of the contract (i.e., which additional clinical modules are included)

None

  1. If available, spend broken down by for the core EPR system and each additional module separately

Not applicable – see response to question 2.3 above.

  1. For the most recent EPR implementation (in each respective hospital), please provide the following information in a tabular format:
    1. Tender date

Data not held.

  1. Contract start and end date

July 2015 to present

  1. Whether the contract is annually renewed

No

  1. Planned final implementation date

Not applicable – see above responses

  1. Which provider the hospital used previously

Rio

  1. Total budget and its components
    1. Total value of contract (£)

See our response to Question 1 above

  1. Contract term

See our response to Question 1 above

  1. Software license fees (upfront and ongoing)

See our response to Question 1 above

  1. Annual contracted pricing growth

We do not hold this data

  1. Implementation fees

This was over 10 years ago, we no longer hold this data.

  1. Allowance for new features / development (if any) – e.g., committed budget for new software features / development which is not yet identified

The Trust does not hold any information on future IT Strategies or future IT delivery models. Please note that we are currently working towards a merger with another organisation, which is further explained on our website: Tavistock and Portman NHS Foundation Trust merger update

  1. Internal training / resources / etc. as relevant

Training is done in-house

  1. Procurement framework used

See our response to Question 1 above

  1. Other systems integrated with the EPR

DrDoctor, Microsoft Office

  1. Department(s) that provided the funding
    1. % of ERP budget comes from the ICB vs. Trust vs. others (please specify name)

We do not hold this data.

  1. Planned date to kick off next tender process
    1. Whether there are plans to replace the system

Please see our response to Question 6.6 above.

 

Type B:  PAS (Patient Administration) systems

  1. Total spend on PAS systems in each Hospital across the Trust in 2024? (ongoing run costs only)

This is not applicable. The Trust does not have a separate PAS system.

Type C: Other HC Clinical IT systems like Medical imaging (PACS), Radiology Information System (RIS), Laboratory Information Systems (LIS), etc.

The Trust does not have any separate HC Clinical IT Systems.

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