What are the major EHR vendors used in the NHS?

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The major vendors are Epic (used by trusts like Cambridge University Hospitals and Great Ormond Street), Oracle Health/Cerner (used by Royal Free London and Barts Health), TPP SystmOne (dominant in primary care with ~35% GP market share), and EMIS Web (the most widely used GP system with ~55% market share, now part of Optum/UnitedHealth Group). Meditech has a smaller UK footprint but is significant internationally.