A history of healthcare computing and advances in clinical information productivity in Southampton, 1980 -2024: essay 3: evolution of the University Hospital Southampton clinical data estate from 2000 to 2010
A history of healthcare computing and advances in clinical information productivity in Southampton, 1980 -2024: essay 3: evolution of the University Hospital Southampton clinical data estate from 2000 to 2010
This is the third essay of a series which report the unique history of the Clinical Digital Estate (CDE) of University Hospital Southampton (UHS) from its origins in the 1980s to the current day. In this essay, I focus on developments between 2000 and 2010.
The knowledge of the early phases of the project largely survives in the recollections of those who built the system. I am therefore most grateful to key individuals whose recollections and substantial contributions to the programme date back to the 1990s.
Liz Horkin was the first Director of Information Management at UHS, generously provided a long written recollection of her leadership of the programme until 2002, when she was succeeded by Adrian Byrne.
Alan Hales was the technical architect of many of the key features in the modern UHS clinical data estate. David Cable has provided enduring support in his senior role in the Trust IT management team.
In the course of the conversations and within the documents, references were made to many legacy computer systems which were unfamiliar to me and will be little known to others. In order to make sense of the text, I have amplified these references with such additional description as I have been able to track down from public sources on the internet.
In the first essay, I considered the history of healthcare computing and early local experimentation with The Wessex Regional Health Authority computerisation plan. In the second essay, I reviewed the history of the first decade of development of the modern Southampton Clinical Data Estate and its key components, between 1990 and 2000.
In this essay, I continue the story through the period of 2001 to 2010, when the modern Electronic Patient Record (EPR) and its component systems took shape in Southampton.
Healthcare computing, Electronic Patient Record,, National Programme for IT (NPfIT), Hospital Integrated Clinical Support System (HICSS), eDocs, eQuest: Ordercomms systems
University of Southampton
Rew, David
36dcc3ad-2379-4b61-a468-5c623d796887
19 March 2026
Rew, David
36dcc3ad-2379-4b61-a468-5c623d796887
Rew, David
(2026)
A history of healthcare computing and advances in clinical information productivity in Southampton, 1980 -2024: essay 3: evolution of the University Hospital Southampton clinical data estate from 2000 to 2010
(Principia Medicinae Digitalis Sotoniensis)
University of Southampton
48pp.
Record type:
Monograph
(Working Paper)
Abstract
This is the third essay of a series which report the unique history of the Clinical Digital Estate (CDE) of University Hospital Southampton (UHS) from its origins in the 1980s to the current day. In this essay, I focus on developments between 2000 and 2010.
The knowledge of the early phases of the project largely survives in the recollections of those who built the system. I am therefore most grateful to key individuals whose recollections and substantial contributions to the programme date back to the 1990s.
Liz Horkin was the first Director of Information Management at UHS, generously provided a long written recollection of her leadership of the programme until 2002, when she was succeeded by Adrian Byrne.
Alan Hales was the technical architect of many of the key features in the modern UHS clinical data estate. David Cable has provided enduring support in his senior role in the Trust IT management team.
In the course of the conversations and within the documents, references were made to many legacy computer systems which were unfamiliar to me and will be little known to others. In order to make sense of the text, I have amplified these references with such additional description as I have been able to track down from public sources on the internet.
In the first essay, I considered the history of healthcare computing and early local experimentation with The Wessex Regional Health Authority computerisation plan. In the second essay, I reviewed the history of the first decade of development of the modern Southampton Clinical Data Estate and its key components, between 1990 and 2000.
In this essay, I continue the story through the period of 2001 to 2010, when the modern Electronic Patient Record (EPR) and its component systems took shape in Southampton.
Text
Essay 3 DRew History of the UHS Digital Estate 2000-210 20.03.2026
- Author's Original
More information
Published date: 19 March 2026
Additional Information:
David Anthony Rew MA MChir (Cambridge) FRCS (London)
Consultant General Surgeon, Southampton Hospitals
Clinical Informatics Research Unit
Faculty of Medicine, The University of Southampton
Keywords:
Healthcare computing, Electronic Patient Record,, National Programme for IT (NPfIT), Hospital Integrated Clinical Support System (HICSS), eDocs, eQuest: Ordercomms systems
Identifiers
Local EPrints ID: 510310
URI: http://eprints.soton.ac.uk/id/eprint/510310
PURE UUID: 0ce5b531-b027-4e38-ba9e-e82297c9b7b6
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Date deposited: 25 Mar 2026 17:37
Last modified: 18 Apr 2026 02:05
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