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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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