North London Partners in health and care

Digital Covid-19 NCL response

Joined-up patient information now live across four London STP areas

See below for Frequently asked questions about joined-up patient information

From 1 April 2020, acute services across seven NHS Trusts in London, in addition to GP services, NHS 111, mental health, community and social care services across four Sustainability and Transformation Partnership (STP) areas, will be able to access shared patient information, including COVID-19 test results. 

This is part of an accelerated effort to join-up health and care information in response to the COVID-19 pandemic. Health and care professionals working across these acute and primary care services will now be able to access vital information about their patients in order to provide fast, safe, effective care. This includes pathology reports - indicating where they’ve been tested for COVID-19 and pre-existing conditions. Work is continuing rapidly to join up information across London’s fifth STP area, North West London.

This work builds on the existing digital programme across NCL, which has already joined up GP records with other local providers through the Health Information Exchange.  
As of 1 April, acute services across the following sites can now access shared patient information for the purposes of direct care:

  • Barts Health NHS Trust (including the new NHS Nightingale Hospital at ExCeL)
  • Homerton University Hospital NHS FT  
  • Lewisham and Greenwich NHS Trust
  • Kingston Hospital NHS FT
  • St George’s University Hospitals NHS FT
  • Croydon Health Services NHS Trust 
  • Royal Free London NHS FT

There are still London hospitals that are not yet able to share data, including UCLH, King’s College and Guy’s and St Thomas’ hospitals. This is however a great start towards getting all acute providers joined up.

GPs can access the joined up record via the Health Information Exchange (HIE) link in their EMIS system.  GP practices in NCL requiring support or further information should contact:



Note: This page was updated on Monday 6 April

For frontline staff to provide the best possible care to patients in response to COVID-19, it is vital that they have fast access to the latest information about a person’s health. Work to develop a joined-up health and care record in London has been ongoing. This ‘London Care Record’ allows health and care professionals to see a person’s records via a secure network of information exchanges that links the information they have in their system with information held by other providers. 

In response to the evolving COVID-19 situation, this work has been accelerated to enable a fast-tracked roll-out of joined-up information across London. This will ensure that GPs, hospitals, the London Ambulance Service and NHS 111 can access information at the point of care to provide fast, safe, effective care to patients. This includes being able to view COVID-19 test results where applicable, and clinical correspondence.

Ensuring that GPs, hospitals, the London Ambulance Service and NHS 111 can access information at the point of care, will help to provide fast, safe, effective care to patients. This includes:


  • allowing GP services and NHS 111 to quickly confirm diagnostics and advise citizens on whether isolation is appropriate
  • supporting improved triage processes for the emergency services and NHS 111 by enabling staff to see whether a person has comorbidities
  • ensuring that patients receive the most appropriate advice or treatment based on their history or current condition
  • supporting community-based teams in taking the right action when interacting with patients outside of acute care settings

It is anticipated that acute services across London will be joined up to this network of information exchanges by the beginning of April, including the new NHS Nightingale Hospital. In response to COVID-19, we are working at pace to make this information available across primary care, community care, mental health and social care services, to ensure that it can be accessed by health and care professionals for the purposes of direct care. 

Local health and care partnerships are working in close collaboration to ensure that information is joined-up safely and securely. This includes development of a pan-London information sharing agreement to support the COVID-19 response, which will ensure that information is joined-up safely and securely across London’s health and care organisations to support individual care. 

Evidence shows that people expect their health and care information to be joined up for the purposes of direct care, and this view was strongly represented in the recent OneLondon Citizens’ Summit where 100 Londoners set out their recommendations for how their health and care data should be used. By accelerating connections between health and care services pan-London in response to COVID-19, we can ensure that professionals, NHS and care organisations are best-equipped to manage this evolving situation. This response is therefore in line with Londoners’ expectations. 
The accelerated effort to join up health and care information across London is very much a tactical response to COVID-19, which will be reviewed once we begin to recover from this pandemic. We recognise the importance of building public trust and legitimacy when it comes to joining-up health and care information, and will therefore consider the outputs of the OneLondon Citizens’ Summit as part of this review to ensure that we act in line with Londoners’ expectations.