From Connectivity to Integrated Care with CareFlow EPR

Integrated Care Systems rely on information that can move with the person as they transition between services in primary care, community settings, acute hospitals, mental health teams, ambulance services and social care. CareFlow EPR has been expertly designed to support this need by aligning to NHS standards and shared-care models so that trusted, usable information is always available at the point of care.

Integrated Working with FHIR Aligned Access

CareFlow EPR can help trusts achieve integrated working by enabling FHIR-aligned access to GP information through GP Connect. This allows coded medications, allergies, problems, immunisations and consultations to flow directly into acute and community workflows.

Shared summaries are shaped by the Professional Record Standards Body (PRSB) Core Information and the Care Homes View, so clinicians, community teams and care home staff can all work from the same set of information.

Integration with Shared Care Records allows multiple systems to link to a single person’s record that is keyed by the NHS Number. This information is then presented contextually within CareFlow EPR so it can be referred to when making decisions.

CareFlow EPR also incorporates the National Record Locator, which allows services such as mental health crisis plans to be accessed by ambulance and community teams. This improves continuity of care at moments where timely information is essential.

Mixed economy interoperability is supported across both HL7 v2 and FHIR interfaces, giving organisations a safe way to progress toward open API based connectivity through CareFlow Connect while operating existing systems.

Cross-setting scheduling and handover are supported through FHIR Appointment Management and structured GP data, reducing duplicate bookings and the administrative effort associated with them.

The platform has demonstrated scalability and resilience across Trusts, showing that it can be repeated within ICS architectures. It also supports national digital programmes, including virtual wards and frailty pathways by making shared patient information available across community and acute settings.

Clinical decision support and prescribing systems can be integrated to create a single reconciled medicines view that helps reduce adverse events. Alongside this, CareFlow includes an interoperability toolset that allows local digital teams to build, monitor, and manage APIs while meeting the requirements set out in NHS England’s Interoperability Standards Directory.

Enabling Better Outcomes

These capabilities lead to better outcomes. Clinicians benefit from fewer duplicate tests and safer medicine decisions because they can view consolidated GP, acute, community and social care information all in one place. Cross-setting care coordination improves in line with NHS England’s ambitions for Shared Care Records. Implementation becomes faster because standards-based APIs are easier to deploy and govern.

CareFlow EPR’s Relevance to the NHS

CareFlow EPR is highly relevant to the NHS as Integrated Care Systems work toward convergence and digitally enabled pathways. Its standards-first architecture supports integrated care delivery and provides a safe migration route from legacy interfaces to open FHIR APIs. Embedding PRSB standards, GP Connect and national interoperability services strengthens digital resilience and helps underpin joined-up pathways across urgent care, frailty and virtual ward services.

Experience also shows that successful implementation requires careful collaboration. Workflows should be co-designed with frontline teams so that they reflect real practice. Data quality aligned to PRSB standards should be prioritised from the outset. Organisations will see more benefits from maintaining a hybrid HL7 v2 and FHIR estate while progressing toward full open API integration so that safe, connected care can be delivered across all settings.

Next Steps

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