What is Before You Rank?
Before You Rank is the first and only publicly available comprehensive database of NHS trust digital systems - built entirely from Dr Dev Gakhar's (Doctor Devify) community of doctors and healthcare professionals. No other resource brings together EPR systems, documentation methods, prescribing platforms, system integration levels, ED-specific systems and hospital parking information across every NHS trust in one place.
Ranking foundation year jobs? Foundation Ranker 2026 integrates this data into a fully algorithmic ranking tool that scores every rotation based on your specialty, hospital, GMC Trainee Survey Reports, hospital proximity and Before You Rank data (digital systems preferences) - built for the Oriel preferencing system.
Crowdsourced data - please verify before ranking
This information has been contributed by doctors and healthcare professionals from across the UK and is accurate as of March 2026. It is crowdsourced and may not reflect the current setup at every trust. Always do your own research and speak to current trainees before submitting your ranking preferences.
Airedale NHS Foundation Trust
moving to Cerner soon (been attempting transition since 2024- multiple failed attempts)
Alder Hey Children’s NHS Foundation Trust
PICU on paper charts and Badger notes. Neo on Meditech EPMA and Badger notes. General wards prescribing some drugs on paper charts (complex infusions).
Aneurin Bevan University Health Board
Drug charts and notes are paper
Ashford and St Peter’s Hospitals NHS Foundation Trust
Avon and Wiltshire Mental Health Partnership NHS Trust
Barking, Havering and Redbridge University Hospitals NHS Trust
Barnsley Hospital NHS Foundation Trust
Barts Health NHS Trust
Bedfordshire Hospitals NHS Foundation Trust
Neonatal and Maternity written notes and meds (Bedford)
Belfast Health and Social Care Trust
Berkshire Healthcare NHS Foundation Trust
Betsi Cadwaladr University Health Board
electronic prescribing introduced at WMH Jan 2026 and YGC March 2026. Paper notes except for a+e and maternity as of March 2026. electronic discharge summaries.
Birmingham Community Healthcare NHS Foundation Trust
Birmingham Women’s and Children’s NHS Foundation Trust
Black Country Healthcare NHS Foundation Trust
Blackpool Teaching Hospitals NHS Foundation Trust
Electronic database and prescribing (all wards) but paper documentation/obs charts. Electronic documentation in ED (Maxims). Highly fragmented and difficult.
Bolton NHS Foundation Trust
Some prescribing still paper (e.g. IV fluids). Sectra for imaging and Patient track for obs but both accessible through allscripts. Some units at hospital use paper notes and systems (eg. NICU and psych). Some referrals are on websites or via emails (e.g endoscopy)
Bradford Teaching Hospitals NHS Foundation Trust
Buckinghamshire Healthcare NHS Trust
Stoke Mandeville is electronic now. Wycombe is electronic as well, Amersham is not yet but will be. IV fluids are prescribed on paper charts. Referrals are some via emails some via careflow. ICE is used for investigations. PACS insight for x-rays and other scan images. Paeds ED partially electronic partially paper notes
Calderdale and Huddersfield NHS Foundation Trust
Patient observations done via NerveCentre that feeds into Cerner. Badgernet used in NICU/SCBU. K2 Athena used in Maternity. Some areas use paper charts eg ICU but documentation is still digital
Cambridge University Hospitals NHS Foundation Trust
All integrated. Epic is also accessible from any personal devices, laptops, as an app on your phone, makes it incredibly easy to work from home. And no bleeps.
Cambridgeshire and Peterborough NHS Foundation Trust
Cardiff and Vale University Health Board
Chelsea and Westminster Hospital NHS Foundation Trust
Chesterfield Royal Hospital NHS Foundation Trust
Cornwall Partnership NHS Foundation Trust
Countess of Chester Hospital NHS Foundation Trust
County Durham and Darlington NHS Foundation Trust
Coventry and Warwickshire Partnership NHS Trust
Lots of referrals particularly surgical and MDTs remain on Word / Email / Phone
Croydon Health Services NHS Trust
Cwm Taf Morgannwg University Health Board
All notes via paper, requesting investigation and results on system.
Dartford and Gravesham NHS Trust
Derbyshire Community Health Services NHS Foundation Trust
Nervecentre + Lorenzo
Derbyshire Healthcare NHS Foundation Trust
Devon Partnership NHS Trust
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
Dorset County Hospital NHS Foundation Trust
A&E uses Agyle, rest of hospital uses paper notes. Agyle often does not communicate with other online systems, and plenty of patients have been found to be COVID/Flu/RSV positive upon transfer from A&E to wards, with no PPE for staff involved. DPR and DCR contain patient records and clinic letters, EPMA for prescribing, ICE for bloods/histology/radiology reports. Referrals very fragmented with some specialties preferring written letters, others accept bleeping registrars. Paper notes for all clerking booklets and ward documentation; can be illegible to read handwriting and much time is spent on flicking through previous entries which can be time-costly for staff especially on busy ward cover or needing to find urgent information including EOL discussions, safeguarding, etc.
Dorset Healthcare University NHS Foundation Trust
East and North Hertfordshire NHS Trust
Nervecentre - Notes, Lorenzo - Prescribing, ICE - Bloods/Tests, PACS - Imaging. Alertive - Messaging/Bleep system (no physical bleeps). Paeds & ICU Paper Drug Charts
Moving to Orbis OneEPR (scheduled for June 2025 but keeps being put back).
East Cheshire NHS Trust
EPR shared with mid cheshire hospitals nhsft
Help keep this database accurate and up-to-date
Before You Rank is community-driven. Submit corrections, add missing data, or share your experience at a trust to help fellow doctors.
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