The verdict in three sentences
Custom electronic patient record (EPR) software for a clinic in London costs GBP 55,000 to 160,000 in 2026. It centralizes history, prescriptions, imaging and access traceability, with HL7/FHIR interoperability, mandatory logging and encryption. The result: fewer clinical errors and information-search time cut by half or two-thirds.
What a custom EPR covers
The EPR is the clinical foundation: any practitioner finds the patient's full, secure and traceable history.
| Module | Content | Benefit |
|---|---|---|
| Unified history | Allergies, past episodes, conditions | 360° view |
| Prescriptions | Orders, interactions, renewals | Medication safety |
| Imaging & attachments | X-rays, reports, PDFs | No lost documents |
| Access traceability | Who read/edited what and when | Compliance |
| HL7/FHIR interoperability | Lab, imaging, pharmacy exchange | No re-keying |
| Encryption & backup | At rest and in transit | Confidentiality |
Access logging is a regulatory requirement: every record view is timestamped and attributed to an identified user.
Budget, timelines and paper migration
Price depends on the volume of records to migrate, the interfaces (lab, imaging) and the security level.
| Scope | Price GBP | Timeline |
|---|---|---|
| Core EPR (history + prescriptions) | 55,000 - 82,000 | 12-16 wks |
| + Imaging + attachments | 82,000 - 108,000 | 16-20 wks |
| + HL7/FHIR interoperability | 108,000 - 138,000 | 20-24 wks |
| Full suite + paper migration | 138,000 - 160,000 | 24-30 wks |
| Annual maintenance | 8,000 - 20,000/yr | — |
Paper record migration (scanning, indexing, patient matching) is often underestimated: budget GBP 4 to 8 per record depending on volume and archive condition. 2026 order of magnitude, to refine after audit.
Mini case study
Ms. Whitfield, director of a 40-bed clinic in London, loses considerable time on paper searches: her 25 clinicians spend on average 10 minutes per patient retrieving history, across 6,000 visits/month. A custom EPR at GBP 100,000 cuts this to 3 minutes: that is 700 hours saved per month. At an average loaded hourly cost of GBP 22, savings reach GBP 15,400/month, before counting reduced prescription errors. The EPR pays back in under 9 months.
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FAQ
How much does a custom EPR cost in London in 2026?
Between GBP 55,000 and 160,000 depending on modules and paper-migration volume. A history + prescriptions core starts at GBP 55,000-82,000.
What is HL7/FHIR interoperability?
These are health-data exchange standards. They let the EPR talk to the lab, imaging or pharmacy without re-keying, cutting errors and delays.
Is access traced?
Yes: every view or edit is timestamped and attributed to a user. Logging is mandatory and shipped with audit reports.
Can we migrate paper records?
Yes: scanning, indexing and matching to the right patient, at GBP 4 to 8 per record. A quality-control phase precedes go-live.
How long to deploy?
From 12 weeks for a core to 30 weeks for the full suite with interoperability and paper migration.
Let's scope your project. Tell us the number of records to migrate, the desired interfaces (lab, imaging) and your budget. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.
