Access Emergency Department: the ED Information System built natively for the NHS

Access ED is a cloud-native Emergency Department Information System built natively for NHS workflows. Real-time patient tracking, ECDS compliance built in, and patient safety embedded at every step.

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£bn

Annual Revenue

NHS Trusts

k+

Customers

+

Years in the NHS

01 04

Built for the NHS. Not Adapted for It

Most EDIS platforms were built in the US and retrofitted for NHS use, which means compliance workarounds and reporting processes that sit outside the clinical workflow. Access ED isn’t an adaptation; it’s specifically designed around NHS workflows and ECDS requirements, so that doing the job correctly and meeting reporting obligations are the same thing.

Evidence: Every ECDS mandatory field, including Consultation Mechanism, is captured as core functionality, not an optional add-on or bolt-on module.

02 04

Faster Clinical Decisions

Access ED is built to reduce the time clinicians spend navigating their system. Patient details are accessible in fewer clicks. A single tracker screen delivers live visibility of every patient across every bay, priority, location, assigned clinician, and care status - without switching between views.

Evidence: University Hospitals Birmingham clinicians praised the speed at which patient details and alerts are surfaced during high-pressure shifts.

03 04

No Alerts Goes Unseen

In a busy ED, information that does not reach the right person at the right moment is a patient safety risk. Access ED is built around the reality that clinical staff are managing multiple patients at once and cannot afford to chase information across different systems.

Evidence: Access ED is the only EDIS where patient safety is structurally embedded — not bolted on as a module.

04 04

Accessibility as Standard

Most ED software looks the same to everyone who uses it, regardless of how they work or what they need. Access ED is different. When clinicians told us the system wasn't working for them, we responded in days, not a roadmap cycle, because the people using our software deserve tools that actually work for them.

Evidence: Accessibility isn't a feature — it's a responsibility. We responded in days, not a roadmap cycle, because the people using our software deserve tools that work for them.

Access ED manages the full patient journey through the Emergency Department, from registration and triage through clinical assessment, investigations, referrals and safeguarding, to discharge and mandatory ECDS data submission.

Built on React and hosted on Microsoft Azure, it gives every clinician real-time visibility of every patient across the department. ECDS compliance is part of the core product, with every mandatory field validated at the point of care so monthly NHS Digital submissions are complete and accurate without anyone going back to fix the data. Patient safety features are woven into every screen, and the system is designed specifically for how NHS emergency teams actually work.

Architected from the ground up around ECDS, DCB0129/0160 and NHS Digital standards. No translation layer.

A single tracker screen gives every clinician live visibility of every patient, priority, and care status across the department, compliant with The Manchester Triage System “Emergency Triage” clinical risk management tool.

Colour-coded allergy alerts, real-time safeguarding flags, and immutable audit trails built into every patient touchpoint.

Mandatory ECDS Compliance

Inline validation prevents a patient being discharged before all ECDS mandatory fields, including Consultation Mechanism, have been completed. Trusts meet their monthly NHS Digital reporting obligations through normal clinical workflow rather than a separate data cleansing exercise, which protects against data quality penalties and removes a significant administrative burden from already stretched teams.

Meet NHS Digital obligations without extra effort.

Real-Time Patient Tracker

A single tracker screen gives every member of ED staff live visibility of all patients across the department, covering triage priority, waiting times, assigned clinicians, location, and care status. Staff can see everything they need without switching between systems or chasing updates, which matters most during the busiest shifts when the risk of missed escalations is highest.

Fewer missed escalations. Better four-hour target management.

Patient Safety Safeguards

Allergy severity indicators appear with colour-coded prominence, red for life-threatening and amber for severe, on every patient-facing screen. Clinical alerts covering behavioural risk, infection control, and safeguarding synchronise in real time across all connected staff as soon as they are raised. Double-confirmation is required before any life-threatening allergy can be removed from a patient record.

Supports CQC standards, MHRA guidance & safeguarding duties.

Open REST API & NHS Integration

A fully documented REST API allows Trust Integration Engines, NHS 111, ambulance services, and e-Triage systems to create and update ED attendances and pre-arrivals programmatically. This removes manual pre-arrival data entry during ambulance surges, reduces transcription errors, and keeps the integration architecture ready as the NHS continues to move away from legacy HL7 messaging.

Reduces transcription errors. Future-proofs your integration architecture.

EEMAC Pathway Support

Access ED supports the emerging EEMAC model — NHS England's same day discharge pathway for ED patients who need diagnostics and senior decision-making but are unlikely to need an inpatient bed. ECDS recording and dedicated pathway tracking are built in.

Aligned to NHS England UEC priorities and the 2025/26 UEC plan.

Azure Cloud Platform

React/TypeScript front end on Azure SaaS. Automatic scaling, built-in redundancy, TAG-managed. Tablet-optimised. WCAG 2.1 AA. No Windows-only constraints.

Reduced IT burden. Mobile-accessible. NHS digital transformation ready

Operational Dashboards & Analytics

ED managers monitor throughput, waiting times, and department performance in real time. Supports mandatory ECDS and CDS reporting alongside live operational visibility.

Performance data at your fingertips - no separate reporting tool required.

Configurable BI & Systems Launcher

Integrate Power BI dashboards, PICS, or any web-based clinical tool directly from the tracker — with patient context (PAS ID) passed through automatically.

One unified workspace. Less system-switching. Faster clinical decisions.

Document & Wristband Management

Integrated wristband generation, single letter printing, and batch discharge letter printing built into the clinical workflow - no re-entry of patient data. Eliminates manual steps and reduces errors at the point of discharge.

Eliminates manual steps. Reduces errors at the point of discharge.

See how Access ED works in practice.

Already Delivering in One of England's Busiest EDs

Access ED is already live at University Hospitals Birmingham NHS Foundation Trust, one of the largest and most complex emergency departments in the country. Clinicians at UHB were describing the system positively within weeks of go-live, and the trust's transition was completed with no service disruption.

UHB's transition began with 65 users running the new system alongside the legacy platform, with both operating on the same live database. Clinical continuity was maintained throughout.

Read th full case study

Injury intent field coverage has gone from around four or five percent up to around 25% in just over a month. There's clearly an upward trend and we expect that to continue.

Dean Croft - IT Project Manager University Hospital Birmingham

Collaborative Configuration

We work directly with your ED clinicians, IT team, and operational leads to co-configure.No assumptions - every workflow is validated against your department.

Phased, Low-Risk Go-Live

Core clinical functionality goes live first. We deploy module by module, with UAT at every stage - so your team is confident before each phase goes to production.

The Access Group Manages the Infrastructure

Hosted on Microsoft Azure SaaS, fully managed by TAG. We handle updates, security, scaling, and redundancy. Your IT team focuses on clinical priorities, not server maintenance.

Continuous Improvement

Through integrated feedback tools, Access ED evolves with your department. Change requests don't take years to reach production.

Supporting NHS England's UEC Improvement Agenda

Access ED is directly aligned to NHS England's urgent and emergency care improvement agenda. The NHS Model Emergency Department guidance sets clear expectations for clinical streaming, real-time patient tracking, and ECDS-compliant data capture. Access ED is built to deliver all three as standard.

It also supports the emerging EEMAC model, NHS England's same day discharge pathway for ED patients who need diagnostics and senior decision-making but are unlikely to need an inpatient bed. ECDS recording and dedicated pathway tracking are built in.

Access ED is also aligned with NHS England's UEC capital funding, which supports trusts investing in urgent and emergency care digital transformation. Access ED's cloud-native architecture, open REST API, and low-risk migration approach are designed to help trusts make a strong case for investment and follow through on their digital commitments with confidence.

See how Access ED works in practice. We will walk you through the system, answer your questions about implementation, and show you how trusts like University Hospitals Birmingham made the move without disruption to care.

See what a modern ED system looks like for your trust