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For nurses, the EPR changes how you work, but the shape of that change depends on what you do day to day.

Today, a lot of your day can involve paper, often recorded more than once: handover sheets, observation charts, assessment proformas, care plans. Some of this is already digital, like observations on WebV Obs, but much of it sits on paper because the systems around it have not caught up. The EPR brings it into one record, entered once and visible to the next person – on your ward, another site, or the next shift.

This is not about adding to your workload. Documentation repeated in more than one place, and workarounds that fill the gaps, take time away from patients now. The EPR is designed to reduce both, and to support safer, better joined-up care with fuller information at the point you need it, rather than decisions made for you.

You will also have a say before it is built. Nursing and midwifery staff are involved in co-design and validation as subject matter experts, so the workflows reflect how you actually work, not a generic system tour.

What this looks like in practice

Three colleagues have shared what their day looks like now, and what could change for them: Olugbenga Odole, a bank health care support worker; Hayley Budrey, a stroke alert nurse and deputy sister; and Mel Buck, a maternity care assistant. Read their case studies below.

News and stories for Nursing & Midwifery

Nursing care in our EPR

This demonstration gives an overview of some key nursing functionality in the EPR.

Hear from your colleagues

Nursing & Midwifery FAQs

  • How will handovers change?

    Everyone involved in a patient’s care will be working from the same live patient record, making it easier to see the latest observations, assessments, care plans, medications, test results and outstanding actions.

  • Will the EPR change my day-to-day work?

    Some roles may see changes where their work connects with clinical services, patient areas or information shared through existing processes. The EPR change team are working with staff to help them understand how the EPR will impact their work and prepare for any change.

  • What will happen to medication records when we move to the EPR?

    When we move to the EPR, medication records will be brought into the new system so staff have accurate and up-to-date information about a patient’s medicines. Pharmacy and clinical teams will help plan and test this process before go-live to make sure the transition is safe and accurate.

  • Will patients notice a difference?

    Yes. Patients should only need to tell their health story once and it will be recorded in the EPR, along with care and treatment information – available to all those with a legitimate need to see it. This saves them having to keep telling different staff about their health and symptoms.

  • What happens when a patient moves between wards, clinics or hospitals?

    Their electronic record moves with them across wherever they are within all sites of our three acute hospitals. Their care team in each site will be able to see their latest information immediately.

  • Will it replace my clinical judgement?

    No. NWEPR is a tool to support decision-making, not make decisions for you.

  • How will our EPR make care safer?

    NWEPR brings together up-to-date clinical information in one place and includes safety features such as alerts for allergies, adverse drug reactions, deterioration and other patient risks, supporting decision making.

  • Will I still use paper?

    Many paper forms and processes will be replaced by digital records, although some paper documents may still be needed during the transition.

  • How will the EPR make care more joined-up?

    Instead of switching between multiple systems or waiting for notes, you'll have one place to record and find patient information. Observations, assessments, care plans, medications, referrals and results will be available in real time to the teams involved in a patient’s care.

  • Will our new EPR create more work?

    There will be a learning curve while everyone becomes familiar with the system, so new ways of working may feel slower at first. However, NWEPR is designed to reduce duplication, not add to it. Recording information once, in one place, should make processes smoother and support safer care over time.

  • What is Huron's role?

    Huron Consulting Services UK joined as delivery partner in May 2026. They are working alongside the programme team to design, build and configure the MEDITECH Expanse system for use across all three trusts. Hunter Healthcare is part of the Huron team.

  • Will I spend more time looking at a screen?

    No. The aim is to reduce time spent searching for information, chasing records or documenting the same information more than once, giving you more time to focus on patient care.

FAQs

Answers to what staff ask us most, from go-live timing to what changes for your role.

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