Everyone went live.Not everyone went digital.

TL;DR

Almost every NHS Trust now has an EPR. Far fewer are getting the benefits the business case promised.

EPR programmes are change programmes, and the human side — not the technology — usually decides whether they succeed.

Two things hold that human side back: a knowledge gap (the process was never properly understood or written down) and a will gap (people rationally work around it even when they understand it).

It gets neglected because the work is hard, invisible, and owned by no one — so it stays unmanaged until go-live exposes it.

Doing it well means making the human layer visible and supportable: role-based training, readiness data leaders can act on, and support delivered at the point of need. AI and better screens help, but neither solves it.