Integrating two systems that handle NHS electronic patient record-keeping has made significant progress in Yorkshire and Humber, according to the local strategic health authority (SHA).
It reports that half of GP practices will be using TPP's SystmOne by the end of the year, although there are concerns about the state of readiness of the Lorenzo system.
Phil Molyneux, the SHA's chief information officer and author of the report, says that local service provider CSC is providing Lorenzo and SystmOne as the strategic solution.
But he says that delivery of Lorenzo remains a "significant risk", and that a fit-for-purpose version of the software may be either not be delivered or significantly delayed.
Nevertheless, he says, the new CSC contract "means the NHS in Yorkshire and the Humber will be able to build on the investment that has already been made in TPP SystmOne in this region, for the duration of the contract."
At the same time, he says, the new contract "means that the NHS in Yorkshire and the Humber has already made significant progress towards achieving an integrated patient record."