While there is still a complicated mixture of national and departmental systems in place, the 2025 assessment data shows that Scotland is continuing to move away from fragmented legacy approaches. A steady migration away from locally developed solutions is visible across multiple system types, particularly within Patient Administration Systems and Care Planning, and the latest data indicates increased adoption of national frameworks for ePrescribing and Medication Management systems.
The pipeline is also encouraging. The 2025 data shows an increase in upcoming deployments categorised as a single integrated solution or a national solution. Rollouts of locally developed solutions have completely disappeared from the near-term pipeline, while new single departmental solutions are limited. This year’s data demonstrates that health and social care organisations are actively discarding siloed developments in favour of nationally aligned digital infrastructure.
For organisations currently investing in new solutions, or intending to maximise the benefits of future national rollouts, the practical implication is clear: ascertaining what capabilities may be available from national sources, and collaborating on specifications for potential national adoption, is how local integration challenges get reduced and how local needs get heard before solutions are finalised.


