Practical trust resources

The Digital Boards programme is focused on sharing good practice and peer learning on digital transformation across the provider sector. This page hosts several resources and reflection pieces from trust leaders and boards who have undergone significant digital transformation programmes. These contain advice, lessons learned and pitfalls to avoid. A large proportion of the resources on this page relates to electronic patient records, however in time we will expand this to cover other digital topics.

If you would like to share your own experiences with other trust leaders, please contact




Electronic patient records





  • Introducing an EPR at Calderdale and Huddersfield NHS Foundation Trust (5 minute read) Based on her trust's own experienceschief information officer Mandy Griffin sets out seven strategic lessons for trust boards looking to introduce aEPR.
  • EPR benefits realisation CHFT (long read) Two years after the trust went live with its EPR, Calderdale and Huddersfield conducted a review into the benefits it had realised. These are categorised into cashable savings, improvements in patient safety and experience, improvements in staff experience, and efficiency and productivity(Link coming soon) 
  • EPR lessons learnt CHFT (long read) | In this report, the trust reflect on the high level operational and technical lessons learnt following their EPR go-live. This paper was submitted by the CIO to the trust board.
  • What to expect from an EPR implementation (long read) | This literature review published in the BMJ explores key conditions and barriers for success during an EPR implementation.
  • Governance for joint EPR procurement (long read) | Bradford Teaching Hospitals NHS Foundation Trust entered a partnership with CHFT and its EPR supplier to deliver its own EPR programme. This document describes the structure and working principles that are in place between both trusts(Link coming soon)
  • CHFT EPR full business case (long read) Read the full business case submitted to the board for their approval. It considers supplier and trust hosted solutions along with funding and implementation arrangements.





  • The Digital Hospital: North Bristol NHS Trust has launched a podcast to update staff on the delivery of their EPR. Listen to their communications on large scale digital delivery.   



General Governance


  • Integrated Digital Committee terms of reference (long read) | Ashford and St Peter’s Hospitals NHS Trust share the terms of reference for their integrated digtial committee, chaired by one of the trust’s non-executive directors. It includes the duties and key responsibilities of the group with regards to the trust’s digital leadership.  
  • Global Digital Exemplar blueprints (long reads) | Access the GDE blueprints library via the Future NHS knowledge sharing platform. These blueprints are designed to help trusts deliver digital capabilities based on learnings from GDE trusts. Requires log in. 
  • Royal United Hospitals Bath NHS Foundation Trust have launched digital literacy training for their staff.


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