1. Trust name
2. Type of trust
3. Do you currently have an EPR system(s) in place?
4. Can you provide a name for the system(s)?
5. How much are you currently spending on this system annually for licensing and support fees?
6. What is the date of contract expiry for the system(s)?
7. Do you intend to go to tender for a new EPR (if applicable)?
8. How many users? (an estimation if unsure)
9. How is your system hosted?
10. Who is responsible for your local implementation of the objectives set out by the NHS in the Five Year Forward View?
11. Can you please provide the name and email of your Chief Clinical Information Officer or the person who holds the equivalent role in your trust?
12. Can you please provide the name and email of your Director of Informatics or the person who holds the equivalent role in your trust?
