Tech
Electronic health records are still creating issues for patients | Computer Weekly
Every NHS trust in England needs an electronic patient record (EPR) system in place by March 2026, as part of a government push to digitise the healthcare system.
In many ways, this is long overdue: some trusts have still been using pen-and-paper record-keeping until very recently.
EPRs have the potential to massively improve efficiency in the NHS. If working properly, they allow doctors to keep all of their records in one place, speed up prescribing and diagnostics, and make it easier for patients to access their own health information.
But these roll-outs have not been without problems. Concerns have been raised about how far these benefits can actually be realised. Some NHS trusts have experienced issues with integrating new systems and training staff on how to use them.
In the extreme, there have been reports of EPRs creating new problems for hospitals, with evidence suggesting these systems may have contributed to serious harm and even deaths among patients.
NHS trusts have been put in charge of procuring their own EPRs, meaning there are numerous different technology companies involved. Some providers of these systems are large US firms. This includes Oracle Health, provided by the Larry Ellison-led tech giant, and Epic, a tech firm based in Wisconsin.
Contracts can run into nine figures: Guy’s and St Thomas’, a trust in South London, launched a £450m system from Epic in late 2023. Some parts of the NHS have been using them for more than a decade, but a handful are still set to miss the government’s March deadline.
Data access
Pritesh Mistry is a fellow at the King’s Fund, where he researches the impact of digital transformation in the NHS. He says it has had “both positive and negative impacts”.
“In the last few years, we’ve seen doubling down on the focus around digital records,” says Mistry. These are now in place in more than 90% of all trusts, and every GP practice.
“That means we’ve now got [new] data that’s within the healthcare system, which allows us to do other things, like treat populations, and understand and track patient safety,” he says.
Despite this, he cautions some patients are still struggling to get hold of their own data.
“We’ve got a lot of data that’s in silos,” says Mistry. “It doesn’t flow. That’s the biggest challenge: making the data accessible and usable for patients and healthcare professionals to be able to provide care in a way that is joined up and meets with modern expectations.”
He says complaints with new technology haven’t just come from patients.
“We need to recognise that staff are really frustrated,” says Mistry. “Software often crashes. Computers are really slow, and technology adds to their workload, instead of simplifying things.” He caveats that some parts of the NHS are better than others on this.
Safeguarding patient data
Mistry adds that there are safeguards in place to ensure patient data isn’t ending up where it shouldn’t be – such as through data protection rules and procurement requirements.
However, he warns that “we need to make sure we move with the times in terms of what technology is available”. Mistry is more concerned about medical staff inadvertently putting personal information into a large language model, for instance.
“Digital exclusion remains a barrier as well,” he says, adding that these systems have the potential to widen inequalities in healthcare. Those less able to use new technology might struggle to access their records.
“People tend to assume it’s old people [who are most impacted], but that isn’t necessarily true,” says Mistry, instead highlighting the impact of poverty and deprivation, with some still unable to afford internet access.
He argues the NHS should be working to meet people where they are, and provide more “tailored” technology services.
Patient safety
Nick Woodier is a doctor and investigator at the Health Services Safety Investigations Body (HSSIB), which looks into issues with healthcare in the UK. He sees problems arising from how EPRs are deployed by trusts, especially when medical staff overestimate their capabilities.
He uses the example of prescribing medicines: “There’s an assumption that these electronic prescribing systems will stop you [from] doing something catastrophic.”
But this isn’t always the case. In one investigation, the HSSIB found a child had been prescribed nearly 10 times the recommended dose of an anti-coagulant medication, with doctors having assumed the EPR would flag an issue. The child ended up with a bleed on their brain.
Woodier also worries hospitals are not always picking up on when these systems are at fault.
“We will often see where incidents have happened and the contribution of the electronic system has not been recognised,” he says.
Woodier sees this as coming from a culture which prefers to put the blame for safety failures on individuals.
A 2024 investigation by the BBC found there were more than 126 instances of serious harm registered by NHS trusts across 31 trusts, including three deaths related to EPR problems.
The HSSIB has also encountered problems from patients being unable to access their digital records.
“We’ve seen in general practice, for example, some patients telling us that they’ve gone without care – because in their mind, they thought the only way they could access their GP was to fill in an electronic form,” says Woodier.
A spokesperson for NHS England says EPRs are “already having a significant impact on improving safety and care for patients”, for instance, by helping to identify conditions such as sepsis, and preventing medication errors.
“They have replaced outdated and often less-safe paper-based systems, and we are working closely with NHS trusts to ensure they are implemented safely alongside other systems with appropriate training – and are used to the highest quality and safety standards,” the spokesperson adds.
Interoperability
The EPR roll-out has also been criticised for problems with “interoperability” – the ability of different programs and modes of data collection to converse with each other. The patchwork of different systems used by different trusts means data stored in one system might not be useful for a system used by a different part of the NHS.
Woodier says this often happens in communications between hospitals and GP surgeries. This can involve someone manually inputting information from one system to another, which can create risks when data is not being transferred properly, or is missed completely.
“When you introduce a manual operation, that risk increases,” he warns. “The odds are that at some point, somebody won’t do the right thing, because that’s the reality of being human.”
Alex Lawrence, a fellow at the Health Foundation, describes interoperability as a “significant challenge”, which the NHS and technology companies have been “grappling with for a really long time”.
“Some trusts have found it much harder to access their own EPR data than they anticipated, because of where that data is stored,” she adds, referring to research the organisation carried out in 2024.
“If it’s taking you days to pull the data that you need, then it’s already not going to be useful for a lot of the purposes that you might want it for.”
However, Lawrence adds that there have been some steps made in the right direction, notably with the Data (Use and Access) Act, which was passed last year.
“The government is making information standards mandatory for EPR providers, as well as trusts, with the Secretary of State potentially having more powers to enforce those standards,” she says.
The longer term
Going forward, Lawrence would like to see a system involving “patients being empowered with access to their own data, and as far as appropriate, clinicians being able to see all of the history that they need for their patients”.
In an ideal system, different parts of the healthcare system would be able to “share a patient’s data where necessary and appropriate, in an easy and timely way”.
She says they have the “potential to offer enormous value”, but much of their functionality is going unused. “What our qualitative research suggested was that a lot of these systems are still functioning as digital notebooks,” says Lawrence.
Matthew Taylor is the head of the NHS Confederation and NHS Providers, membership bodies for healthcare organisations.
“NHS leaders say the gap between trusts on digital maturity is still stark – and it’s shaping how quickly organisations can move to modern EPRs,” he says.
This gap – combined with the organisational complexity of the healthcare system – means interoperability has “long been a thorn in the NHS’s side”.
Taylor adds that EPRs are not a “once-and-done” job, and argues they will result in savings in the long term, but that it may take around five years to see the benefits.
“Hospitals are housing a huge amount of paper records, and the cost of storing, retrieving and managing those records can run into millions of pounds each year,” he says.
These systems are part of a larger picture, and one facet of the conversation, around the use of artificial intelligence in the NHS. AI models for areas such as research and diagnostics will require extensive and standardised medical data.
Mistry warns these AI tools operate on the basis of “garbage in, garbage out”.
“There is a risk that we roll out AI tools without the underpinning data quality it needs,” he says, adding that this could exacerbate inequalities or biases from using AI.
As Woodier puts it: “We’ve got organisations who are still using archaic computers, have got infrastructure that’s not working, are still on old web systems, or have EPRs that don’t talk to each other. A few [trusts] don’t have EPRs.
“So, actually, are we trying to run before we’ve even managed to walk?”
The vacuum connects to Dyson’s app, where you’ll find resources such as how to empty the dustbin and wash the filter, but not much else. It can tell you how long your last vacuuming session was, but no other details, so it’s not as interesting or as informative as the data you’d get from a robot vacuum.
Fluffy Face
Photograph: Nena Farrell
Photograph: Nena Farrell
This vacuum’s full name is the Dyson PencilVac Fluffycones, aptly named for the four fluffy cones inside the vacuum head. Dyson’s previous recent stick vacuums all have the Fluffy Optic cleaner head for vacuuming hard floors. While both have a fluffy roller bar, the Fluffycones have a conical shape that Dyson says will detangle and remove hair rather than the hair getting stuck all around it. It did detangle hair for me, but when I vacuumed up larger portions of hair from my bathroom floor (a place where many a stray hair comes to die at the hands of my hairbrush, comb, and towel), it actually bunched up the hair into a ball and spat it back out a few times before finally sucking it up into the dustbin.
Video: Nena Farrell
While the hair results weren’t great, I did love this vacuum for sucking up the cat litter that constantly plagues my home. It did a great job with flour on my hard floors and a solid job with dry oats, but it occasionally just bumped the oats around instead of immediately sucking them up. I was even able to quickly run it over the top of my carpet, but rolling back and forth on the carpet a bunch did stop the cones.
The head is designed to move in just about any direction. The cones make it easy to swivel around, and the green illuminating lights on the front and back help you spot any debris you might otherwise miss. With its compact size that fits in tricky corners, the PencilVac finally lets me vacuum up all the litter around the base of my toilet and pedestal sink. It’s part of what makes me reach for this vacuum over and over, even after my robot vacuum cleaned the day before.
Forward Momentum
Photograph: Nena Farrell
Do I think this vacuum replaces Dyson’s existing cordless options? No. But Dyson has other new vacuums planned that could do that. This vacuum has a specific design for a specific use: smaller homes with entirely hard floors. There’s an accessibility opportunity here, too. This lightweight vacuum can be much easier to use for folks with mobility and strength restrictions. The magnetic charging base also makes it easy to store and access for a variety of people, whether they struggle with fine motor skills or can’t bend over and grab the vacuum.
There is a special agony to existing in limbo, that state of eternal in-between, where time stretches into infinity.
Today, that experience is especially true for people vying to join Raya, the members-only dating app. Obtaining a Raya account requires an invitation from a current member, and even after you’ve applied, you can’t log in until your application is approved. The process creates a bottleneck akin to the line outside a nightclub, where the chosen few breeze inside while the rest are left to wait. Beyond the velvet rope there are some 2.5 million people waiting to get into Raya—many of whom have been idling in limbo for years.
“My application is stuck in purgatory,” Gabriela Mark, a 23-year-old law student and model in San Diego, tells WIRED. “Like, she’s never escaping.”
Mark has been on the waiting list for five years. “I don’t know what their deal is, but there’s a reason I’m trapped on this waitlist and I needed to find out what it was.” In January, having reached her limit, she decided to email Raya. “I am beginning to believe you guys genuinely hate me or are bullying me,” Mark wrote in a colorfully worded letter. “Is my application just floating in the abyss somewhere or a running gag to you guys???”
Mark never received a response, but her story is an increasingly common one. The people WIRED spoke to for this story—who, despite their professional bona fides, have waited anywhere between two and seven years to join—have watched friends get accepted, break up, and cycle through the app while their own status remains unchanged.
Originally marketed as a kind of SoHo House for people in creative industries, Raya launched in 2015 as an app built around aspiration—but it has since shifted into a platform where many people in those industries find themselves unable to participate at all.
“It’s a bit of a mental fuck,” says Jennifer Rojas, who was working as an actress when she applied in 2020. “You start to look inward. Like, maybe it’s me. Maybe it’s this or that. I was opening it every day to check my status.” Now a 40-year-old UGC creator in South Florida, Rojas is going on year six of the waiting list. “I have 17 referrals on the freaking app.”
There is not an exact science to making it past the waiting list. According to previous reporting, the app—which charges users $25 per month, or $50 for a premium membership once approved—receives up to 100,000 applications per month. For prospective users, the biggest advantage comes from referrals by current members, who each get a small stash of “friend passes” to share. list isn’t first-come, first-served, which partially explains why some people have been on it for so long. It changes based on things like how trendy your city is on the app or whether you’ve snagged a referral.
(Raya declined to comment. After an initial call with Raya’s communications team about scheduling an interview with Ifeoma Ojukwi, the vice president of global memberships who oversees the application process, the company stopped responding to requests from WIRED. As is common in online dating, we were ghosted.)
Like so many people who want in, Raya’s exclusivity initially appealed to Mark. She wanted to join because she’d heard it was full of “cool people who seem untouchable.” Reputationally known as the celebrity dating app, everyone from actors Dakota Fanning and Channing Tatum to Olympian Simone Biles have had varying degrees of success on the platform. (Biles met her husband on Raya.) Mark had tried her luck on the app circuit: Hinge was “just OK.” With Tinder she kept running into guys that “just seemed like they wanted to literally bone anything with a hole in it.” As for the other ones, “nothing but trap boys and creatures,” she says.
The Iran war has spiked gas prices. The RAM crisis has spiked prices on electronics. A wide swath of imported goods costs more than before due to Trump’s tariffs. Right now, your wallet is likely feeling the squeeze.
It’s a tumultuous time, and the constant media barrage of doom and gloom doesn’t help ease anxieties. It’s also hard to figure out when things will get better, so you’re stuck in a rut of worrying about finances. It’s OK. Take a breath. The first thing to remember, according to “The Budgetnista” Tiffany Aliche, is that the economy is cyclical.
“I’ve lived long enough to see many ‘worst times,’” Aliche says. She’s a financial educator and author of The New York Times Best Seller Get Good with Money. “Well, if it is the worst time, what the hell can I do about it? Sometimes you have to take the apps off your phone. I took Instagram off my phone, and I allow myself to check it on my laptop, which is far less addictive.”
Constrict your doomscrolling so you won’t feel the constant anxieties from the day’s news. Now, how can you actually find ways to conserve and save money? First, look at tightening your spending as much as possible. Aliche says you should analyze your credit card statements and see exactly where your money is going. Is there any wiggle room? Can you cut a few subscriptions to save a few bucks every month? She calls it the ramen noodle budget.
Once you make those adjustments, it’s worth thinking about bigger changes. It might be that those plans never have to come to fruition—like moving in with parents or getting a roommate to save money on housing. “Make the doomsday plan,” she says. “You don’t have to act on it now, but what is that plan if things really get rough, and start having those conversations.”
Sean Pyles, producer and host of NerdWallet’s Smart Money podcast (also a certified financial planner), echoed Aliche’s sentiment of starting with your most recent spending to see where your money is going, and see if it aligns with your values and goals. Do you really need to Uber everywhere? He’s also a fan of keeping a level head and avoiding rash decisions, especially when there’s a lot of volatility in the stock market. Focus on your time horizon instead, and ignore the swings in the market.
“The wiser step is to ignore it as noise and realize that this is someone else’s problem, not mine right now,” he says. “Focus on what you can control. Maybe you have a financial goal to save for a vacation or a wedding, or it is your retirement you’re investing for now—do what you can to make sure you’re on track to meet those goals.”
It’s prudent to build up an emergency fund. Aliche recommends saving up ideally six months of your noodle budget, which you’d typically spend on necessities like rent, mortgage, and utilities. Both Aliche and Pyles suggested automating your finances as much as you can. Set it up so that you have some cash—maybe $100—going into your emergency fund every paycheck. Aliche says you can even ask your employer to split your salary so that it goes into specific accounts, like half of it going into a checking account and the other half going to a high-yield savings account.
Expert Tips on Saving Money
With those budgeting tips in mind, I also asked the writers and editors on WIRED’s Gear and Reviews teams—along with Aliche and Pyles—for ways they save money, whether that’s through specific gear they own or services they use. Hopefully, some of these suggestions can help you save some cash not just now but whenever you’re in a pinch.
Cardmaxxing
“I have been really relying on my credit card points and doing what I can to maximize the points I’ve been earning on everyday purchases. If you have a solid credit card that’s getting a good reward rate for things like going out to eat or taking ride shares, that can actually offset the cost of summer travel, because we’ve seen jet fuel prices go up a lot recently. This might be a great time to cash in the points you have just sitting in your credit card account not being used.” —Sean Pyles
Energy Savings
“I have the Google [Nest] Thermostat—I travel a lot, so I have the thermostat on my phone. So if I’m not going to be at home, then I’m like, who’s heating the house? I’m not home, I don’t care. To a certain degree, obviously, you don’t want to freeze your pipes. Lean into your thermostat … use smart technology so that you’re not using energy in a way that’s inefficient.” —Tiffany Aliche
Baby Bonanza
My wife and I are both practiced deal hunters, so much so that she was actually excited when I told her I landed her engagement ring from an upscale consignment store. (I got it at half price!) She’s always been the pro to my amateur, but with the addition of our first child, she transitioned to fully operational Deals Terminator, where she zeroed in on a variety of resources to help us land most of our baby stuff for 10 cents on the dollar (or less).
We started by hitting up friends and family, but whatever we couldn’t procure from hand-me-downs has come from a mixture of local consignment stores, sites like Facebook Marketplace and Buy Nothing, Poshmark, and even good old-fashioned eBay. Swap programs like Just Between Friends are another great way to keep your baby clothed, and we’ve kept our library fresh by hitting up used bookstores as well as Dolly Parton’s Imagination Library, which grants you one free book a month. Virtually everything you buy in these early stages will be gone in a year or two at most. That makes going cheap on essentials a must for keeping costs down. —Ryan Waniata
Free Ride
Back in 2022, I wrote about how Filson’s Dryden Duffle Pack was hands down my favorite gear item ever. Then Filson killed it. The folly of discontinuing what was at the time the best bag in the world wasn’t lost on Huckberry, mind you, who, realizing Filson’s error, collaborated with the brand to bring a version back for its store. Now, finally seeing the error of its ways, Filson has resurrected the peerless Duffle Pack itself.
Why do I tell you this? Well, the money-saving genius of this bag lies in its ability to morph between a hand-carry, standard shoulder duffel, and a rucksack, thanks to two backpack straps cleverly hidden in the base. When I fly, I shun cabin cases in favor of the Duffle Pack, because low-cost, money-grabbing budget airlines increasingly like to charge extra for taking overhead carry-on cases onto a flight. Backpacks are usually free. You can easily fit a week’s worth of clothes, toiletries, tech (yes, there’s even a dedicated 16-inch laptop pocket), adapters, cables, and more into the Duffle Pack’s cavernous 46 liters of space. All you then need to do is waltz onto your flight with the trusty Filson in backpack mode, and you won’t have paid one cent extra. —Jeremy White
Too Good to Go
I’ve gobbled up so many delicious snacks, like artisanal conchas, and hefty dinners, like Mission-style burritos, at a discounted rate by using the Too Good to Go app (Android, iOS). Restaurants and bakers list their unsold food at the end of the day for people to buy through TGTG. While sometimes the portions can be on the smaller end, and you don’t get to pick what you get, the app is a reliable option for cheap, late-night munchies. —Reece Rogers
Buy Used
A user browsing Facebook on a computer in Tunis, Tunisia.Photograph: Imen Ben Youssef/Getty Images
A great deal of furniture in my home was acquired through Facebook Marketplace. Much depends on the area you live in, but you’ll be surprised at just how much stuff people list on there at reasonable prices, and you can usually haggle to get the price a little lower. Be very careful of scams, and always make sure you meet people in public spaces when making purchases. But Facebook Marketplace isn’t the only option for used gear; for big appliances or electronics, I usually check retail stores like Amazon or Best Buy for open-box or used listings, and if nothing comes up, usually I can find the item I want on eBay. I’ve bought several excellent lenses for my Nikon camera, saving hundreds of dollars had I bought new. —Julian Chokkattu
Or Buy Refurbished
Brand new always means paying a premium, but many folks are put off buying used because they don’t want the risk of a scuffed phone or a scammy seller. There is a happy middle ground: Buy refurbished. Go directly to major players like Apple, and you can get decent discounts on MacBooks or iPhones that come packaged like new with a warranty period. Our last two MacBooks were both refurbs from Apple, and they’re as good as new. I dive deeper into this in my guide on How to Buy Refurbished Electronics. —Simon Hill
Freeze Food
If you manage to find large quantities of food on markdown, you’d be surprised at how much you can freeze with little to no loss of flavor or texture. Beyond the usual suspects like meat, butter, and leftovers, I use Souper Cubes trays to portion cut-up fruit and about-to-be-expired sauces and condiments, I vacuum-seal hard cheeses, and I individually wrap baked goods like bread and buns before deep freezing. (As a bonus, freezing actually lowers bread’s glycemic index.) —Kat Merck
Skip the Gas-Guzzling Car
Courtesy of Specialized
Everyone thinks that transitioning away from driving your car (and paying insane gas prices!) means that it has to be all or nothing. This is not true. My rule is that when you can, just substitute one trip per day where you would’ve driven a car with a bike, ebike, scooter, walking, public transit, or carpooling. For me, that means biking my kids to school. For you, that might mean walking to the corner store instead of driving to the market for ketchup, or asking to get picked up on the way to the bar instead of meeting people there. Bonus: You might end up seeing your friends more, too. —Adrienne So
My Friend Libby
I can’t begin to add up the amount of money I’ve saved over the years with my tried and true Kindle + Libby app combo. I’m a big reader, and using Overdrive’s Libby in conjunction with my local library card gets me free and sometimes instant access to a huge variety of ebooks, audiobooks, and magazines. As any regular library user knows, sometimes you have to wait for the most popular titles to become available. The app even has a path to requesting that your library buy a new ebook license for books it might not have. Those resisting the siren call of Amazon’s e-reader can use Libby in conjunction with other devices, too (though that process is a little more complicated), or even choose to read some books natively, right in the app. —Aarian Marshall
You Need a Budget
Courtesy of YNAB
After reading WIRED editor Adrienne So’s story about YNAB, or You Need A Budget, I decided to give the app a go. I was instantly hooked on YNAB’s seemingly straightforward premise. Ideally, you can only spend the money you actually have, so why not plan for the best way to do that? Link YNAB to your bank account and divide your money into any categories you want. Then, every bit of payment and income is tracked and sorted into customized categories that show what you spend money on. It’s both a blessing and a curse to see exactly how much you spend on takeout, but YNAB makes it easy to reallocate those funds, little bits at a time, into something else you want to invest in. Yeah, there’s a yearly fee for the service, but at least the service shows you how to set aside the costs. —Boone Ashworth
Rush Tickets
Just because you’re saving money doesn’t mean you have to sit at home solemnly on the couch every night! You should consider calling your local theater to see what their policy is for night-of, rush tickets. The discount might be even deeper than you expect. Recently, my partner and I had a lovely date night at a theater in San Francisco that was showing a stage adaptation of Paranormal Activity. Spooky! We showed up around an hour before curtain and snagged two $15 tickets, which were originally priced over $100. There are official apps that specialize in these kinds of tickets, like TodayTix for Broadway shows in New York City, but there most likely is an option local to your area if you do some digging. —Reece Rogers
Budget Apparel
Noihsaf Bazaar. What the heck is a Noihsaf? Well, it’s “fashion” spelled backward, of course. But there’s nothing retrograde about this website, which lists gently used apparel, footwear, and decor from independent designers, small shops, and vintage resellers. That’s what makes Noihsaf Bazaar stand out among the Poshmarks and Depops of the used-clothing world. The stuff you’ll find here is, for the most part, unique and interesting and from labels that you haven’t heard of. Sure, you’ll find the occasional Pendleton flannel or Levi’s denim jacket, but the indie vibes always win out. Only the best stuff makes it onto the site, too. Noihsaf’s team of curators vets items before they get listed, and inventory turns over frequently, so shopping here is like stepping into the world’s most well-curated vintage shop. And the deals are often screamin’, with filters to show items that are on sale or listings that are expiring soon. —Michael Calore
Thrifting Fun
Speaking of vintage shops, you would not believe the treasure I find at the thrift store ($200-plus blouses and jeans with tags still on, hello?), which has ruined me forever for buying clothes at retail price. They always need a good clean when they come home, and I buy Blueland laundry detergent tabs in bulk. Bang for buck, no microplastics leeching into our water supply, and the Spring Bloom scent is lovely. —Julia Forbes
Aldi Girl
I’ve always been an Aldi girl, and quite frankly, I don’t understand how anybody can afford to be anything else. Aldi mostly sells private-label groceries with minimal packaging, and it charges for bags and shopping carts (though the latter fee is just a 25-cent deposit). Bring your reusable bag! Shopping there has cut my grocery budget in half. I did join Costco recently, too, for bulk items like protein shakes and energy drinks, and the gas savings from filling my tank there have paid for my membership so far. I also started meal prepping this year, which includes making extra batches of my favorites so I can DoorDash from my freezer instead of my phone. —Louryn Strampe
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