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Electronic palliative care coordination system (EPaCCS): Interoperability is a problem
  1. Pablo Millares Martin
  1. General Practice, Whitehall Surgery, Leeds, UK
  1. Correspondence to Dr Pablo Millares Martin, Whitehall Surgery, Leeds LS12 5SG, UK; pablo.martin{at}

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Our practice was involved in the early pilots of the electronic palliative care coordination system (EPaCCS); this followed the publication of the end of life care strategy by the Department of Health in 2008.1 The initial concern was interoperability; issues identified then remain 9 years later.

England is divided into four regional teams, each with multiple clinical commissioning groups (CCGs):

  • North 66 CCGs cover a population of 15.9 million according to National Health Service (NHS) digital data.2

  • Midlands and East 61 CCGs for 17 million people.

  • London 32 CCGs for 9 million people.

  • South 50 CCGs for 14.4 million.

We used a freedom of information request to all other CCGs with four questions:

  • Is an EPaCCS in place? For how long? …

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  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests The author was involved in the original project to role out EPaCCS in Leeds.

  • Provenance and peer review Not commissioned; internally peer reviewed.