Having the most up to date information about a patient’s medical history means healthcare professionals can make the best decisions about an individual's care. Right now London has about 30 information exchanges that enable NHS organisations to share information. They operate locally and do not cater for when a patient needs care outside their local area.

Not being able to share information across geographical boundaries is a significant barrier to integrated care. Particularly for Londoners, who are very mobile, often working, living and socialising across different parts of the capital. London hospitals tell us that 80 per cent of the people they see are from outside their area.

Our vision

We want to create a London-wide information exchange that will give NHS clinicians secure access to real-time patient records and information. Clinicians in A&Es, hospitals, GP practices and mental health and community care trusts across London would be able to securely exchange information and update records.

Information would only be shared if a patient gave their consent. We want to see each patient having access to an online account where they could view their information and decide which organisations can see it. We would develop universal services for London, such as consent standards, identify management and health and care professional role-based access controls that would allow providers to overcome common issues that have historically acted as a barrier to true information sharing.

Work is already underway

We are working with London CCGs to develop, pilot and launch the London Health and Care Information Exchange.One element of the exchange is a data controller console. This is a new online platform that NHS organisations in London can use to create and maintain information sharing agreements. Testing of the data controller console is underway.  

The London Health and Care Information Exchange will also enable clinical documents and information to be shared securely and electronically between NHS organisations in London. Design and development of this function is underway. 

WATCH: Short video about how by sharing information between NHS organisations can support integrated care and enable better care for patients.  

LISTEN: Podcast featuring Mike Part, Head of our London Digital Programme, explaining the London Health and Care Information Exchange and why its important for London

To share any thoughts and questions about the London Health and Care Information Exchange please email


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