UK & Ireland
Advisory Paper

Mind the NHS legacy data gap

How digital leaders can deliver clinically-led EPR migration and archiving to support care and EPR optimisation.

  • From EPR coverage to clinical capability
  • Built around four clinical and operational pillars
  • Trusted across 1,500+ EPR migration projects
Why it matters

Filling in the blanks of NHS data strategy

With 95% of NHS trust implementing or upgrading an EPR by March 2026, the next phase of frontline digitisation is optimisation, turning coverage into capability. But too many EPR migrations still treat legacy data as an IT problem to fix later, leaving clinicians without context, organisations exposed to risk, and AI ambitions stuck behind unstructured documents. Successful NHS transformation demands a different approach.

The Problem

When legacy data becomes a barrier to transformation

NHS Trusts moving to a new EPR face a vicious circle. Wholesale migration is unaffordable. Wholesale archiving creates data lakes nobody can use. Legacy EPRs run on indefinitely as expensive read-only repositories. And clinicians, fearing loss of patient history, often default to a ‘migrate everything’ approach – driving up cost, complexity and clinical risk.

The hidden cost of inaction

Clinically inactive legacy systems inflate operational costs and divert funds from transformation and patient care.

The Solution

Migration and archiving, as a single clinically-led programme

Treating data migration and archiving as a single, clinically-led programme, rather than two separate IT workstreams, can transform outcomes. With clinical leaders shaping what gets migrated and what gets archived, Trusts and ICBs can reduce cost, protect patient safety, meet regulatory obligations, and unlock the structured data that AI-enabled care depends on.

Up to 99.5% quality uplift

Customers achieve up to 99.5% post-project migration quality improvements with integrated frameworks.

Advisory Paper

Bridging legacy data and clinical quality

A strategic guide for NHS digital leaders navigating legacy data migration and archiving, digital optimisation and the 10 Year Plan.

Explore the four pillars of legacy data management.

  • The four pillars of legacy data management
  • Why integrated migration and archiving wins
  • How structured data unlocks AI and population health
  • How to cut cost without breaking compliance
  • Protecting against medico-legal exposure
  • Why procurement timing makes or breaks projects
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Case Study

New South Wales Single Digital Patient Record, Australia

Hundreds of legacy systems and billions of data points, consolidated into one Epic EPR and intelligent clinical archive – with care continuity preserved throughout. We work with the most complex and ambitious EPR programmes around the world.

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228

Hospitals

Public hospitals across NSW in scope.

600+

Community Health Centres

Community-based care locations included.

60

Pathology Labs

Laboratory systems unified into one record.

150+

Collection Centres

Pathology collection centres consolidated

8M

Residents

People served by the unified EPR and archive.

Don’t let your new EPR forget your patient’s past

Helping NHS organisations migrate the right data and embed intelligent clinical archives. Download the advisory paper to see the full framework.