Understanding Clinical Systems in UK GP Practices

July 31, 2025

In the evolving landscape of primary care, clinical systems are the digital backbone of GP practices across the UK. These systems help streamline patient care, improve record-keeping, and support everything from booking appointments to prescribing medication. For healthcare professionals, understanding how these systems work—and which ones are most commonly used—is essential for smooth day-to-day practice.

What Are Clinical Systems?

Clinical systems, also known as electronic patient record (EPR) systems, are digital platforms used by GP practices to manage patient data and support clinical workflows. These systems store detailed patient information such as medical history, prescriptions, consultation notes, test results, and more.
  • Beyond record-keeping, they often integrate tools for:
  • Electronic prescribing (EPS)
  • Appointment scheduling
  • Reporting and audits
  • Communication with secondary care providers
  • Clinical decision support

Why Are Clinical Systems Important in General Practice?

Clinical systems are fundamental to the delivery of safe, efficient, and patient-centred care. Benefits include:
  • Improved efficiency: Reduce time spent on paperwork and administrative tasks
  • Better data quality: Standardised and structured data for accurate clinical decision-making
  • Continuity of care: Shared records mean all healthcare professionals involved can access up-to-date information
  • Compliance: Helps practices meet NHS reporting and regulatory requirements

Most Widely Used Clinical Systems in UK GP Practices

In the UK, several clinical systems are widely adopted across GP practices, each offering specific features tailored to practice size, workflows, and NHS integration.

1. EMIS Web

Market share: One of the most widely used systems in England Overview: EMIS Web is known for its comprehensive functionality and strong interoperability with other NHS systems. It supports appointment management, prescribing, QOF reporting, and remote consultations. Key features:
  • Real-time patient record access
  • Integration with NHS Spine and NHS App
  • Clinical templates and alerts
  • Mobile working with EMIS Mobile

2. SystmOne (TPP)

Market share: Popular across England, especially in community and integrated care settings Overview: SystmOne supports a wide range of services beyond general practice, including community services and mental health, making it ideal for integrated care. Key features:
  • Shared records across care settings
  • Customisable templates
  • Strong support for reporting and audits
  • Remote access for clinicians

3. Vision (InPS)

Market share: Still used in several regions, particularly in Wales and Scotland Overview: Vision provides EPR solutions for GPs, pharmacies, and community services. It’s been in use for decades and supports a range of clinical and administrative tasks. Key features:
  • Modular design for flexibility
  • Compatible with GP Connect
  • Decision support tools
  • Structured medication management

4. Microtest Evolution

Market share: Smaller but used in some parts of England and Wales Overview: Known for its user-friendly interface and strong customer support, Microtest is suitable for smaller practices and those looking for ease of use. Key features:
  • Integrated diary and clinical workflow
  • Electronic prescribing
  • Pathology links
  • Mobile functionality

Choosing the Right Clinical System

When selecting a clinical system, GP practices consider factors like:
  • Integration with local healthcare systems
  • User-friendliness for clinicians and admin staff
  • Cost and licensing models
  • Training and technical support
  • Compatibility with national digital tools (e.g., NHS App, EPS, GP Connect)
The NHS also provides guidance and procurement frameworks to help practices make informed decisions based on their operational needs and regional infrastructure.

Conclusion

Clinical systems are the engine rooms of modern GP practices, enabling better care delivery and efficient practice management. Whether you’re a new GP, a practice manager, or a healthcare IT professional, familiarising yourself with the key systems—such as EMIS Web, SystmOne, Vision, and Microtest—can help you navigate the digital landscape of UK primary care more confidently. As healthcare continues to move toward integrated, digital-first models, staying up to date with clinical systems and their capabilities will be essential for all primary care professionals.