NHS Connecting for Health ceased to exist on 31st March 2013. This website is therefore not being updated. For up to date information about systems and services visit the Health and Social Care Information Centre website at www.hscic.gov.uk/systems

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Prime contractors (NPfIT)

NHS Connecting for Health has worked with the NHS to introduce a range of services and applications through a series of local and national contracts.

It was recognised that a single supplier was unlikely to have sufficient capacity to deliver all the new services and applications planned for the NHS as part of the National Programme for IT. It was therefore decided to divide work into two main components:

  • develop IT systems to be used by NHS users across England;
  • develop systems to be used locally and ensure these link with the national systems.

National applications were to be delivered by national application service providers (NASPs) while local care records and some other services were to be delivered by local service providers (LSPs).

Both NASPs and LSPs were selected by means of competitive procurement under Official Journal of the European Union (OJEU) rules.

National Application Service Providers


BT is the NASP for the national data Spine, which carries summary information about healthcare and underpins numerous services and applications within the NHS.

BT is also responsible for N3, the national broadband network linking NHS sites.

Atos Origin

Atos Origin is the NASP for Choose and Book which enables first outpatient appointments to be booked at GP surgeries, online or through a call centre.

Cable and Wireless

Cable and Wireless is the NASP for NHSmail, the national email and directory service for NHS staff.

Local Service Providers

The LSPs act as 'integrators', ensuring local systems meet national standards and facilitate data flows between the local and national systems.

To do this, they upgrade or replace hardware and software as appropriate. They also train trainers and provide resources for local NHS organisations to help them ensure their staff have the skills to use the new systems. LSPs are responsible for appointing their own subcontractors.

Computer Sciences Corporation

Computer Sciences Corporation (CSC) is the LSP for the North, Midlands and East Programme for IT, delivering care records systems developed by its subcontractors.

CSC is also responsible for picture archiving and communications systems and radiology informations systems in the South, and the national clinical IT system for prisons across England.


BT is the LSP for the London Programme for IT. In conjunction with its appointed subcontractors, BT delivers care record services and PACS and radiology information systems across the capital.

Since 31 March 2009, BT has also been responsible for the delivery of care record systems in a number of trusts across the South of England, working with the Southern Programme for IT and local NHS organisations.

LSP media relations contacts:


Lucy Cowcill
0207 809 7098
07739 789471


Joanne Davis
01252 536 737
07799 476 532

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