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IT infrastructure

Our IT Infrastructure supports the delivery of a range of national systems and services.

We develop, deliver and maintain the NHS national IT infrastructure to support the provision of healthcare services in England. Our systems help manage day-to-day operations and improve the quality of patient care.

IT infrastructure systems


Sign in to your secure NHS email. NHSmail is a secure email service approved for sharing sensitive information.

Summary Care Records (SCR)

The SCR is an electronic record of important patient information, created from GP medical records.

Registration Authorities and smartcards

Registration Authorities govern smartcards used by health professionals to access confidential information.

NHS Pathways

NHS Pathways helps direct telephone calls from the public, based on the symptoms they report when they call urgent and emergency care services.


Spine supports the IT infrastructure for health and social care in England, joining together over 23,000 healthcare IT systems in 20,500 organisations.


GP2GP enables patients' electronic health records to be transferred directly and securely between GP practices.

Networking addressing

We register domain names for organisations wanting an NHS website. We also deal with IP addresses, SMTP email domains, EDI addresses and MESH accounts.

Clinical Safety - for better, safer patient care

We ensure the operation of a consistent clinical safety management approach so that NHS IT systems support clinicians in providing better, safer patient care.

Health and Social Care Network

The Health and Social Care Network (HSCN) will provide a reliable, efficient and flexible way for health and care organisations to access and exchange electronic information.

Solution Assurance

Solution Assurance is responsible for assuring the quality and safety of national Health and Social Care IT systems.

NHS Infrastructure Maturity Model

The NHS Infrastructure Maturity Model (NIMM) framework helps NHS IT organisations to carry out an objective assessment of their IT infrastructure (to determine how developed/capable specific IT services are) and to identify infrastructure maturity improvement projects.

Digital Delivery Centre

The Digital Delivery Centre (DDC) oversees a number of key national applications and infrastructure for health and social care IT.

Utilisation Reports

We combine progress reports from Clinical Commissioning Groups (CCGs) who are deploying our national systems, to create a single report.


NHS WiFi will give staff and patients access to WiFi in NHS settings in England.

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