Local Digital Roadmaps

The Five Year Forward View makes a commitment that, by 2020, there would be “fully interoperable electronic health records so that patient’s records are paperless”. This was supported by a Government commitment in Personalised Health and Care 2020 that “all patient and care records will be digital, interoperable and real-time by 2020”.

It is clear that ‘digital’ technology has a significant role to play in sustainability and transformation. This includes delivering primary care at scale, securing seven day services, supporting new care models and transforming care in line with key clinical priorities. Local health and care systems are developing Sustainability and Transformation Plans (STPs) and the best plans will harness the opportunities that digital technology offers.

In September 2015, a three-step process began to allow local health and care systems to produce Local Digital Roadmaps (LDRs) by 30 June 2016, setting out how they will achieve the ambition of ‘paper-free at the point of care’ by 2020. The first step was the organisation of local commissioners, providers and social care partners into LDR footprints. The second step was for NHS providers within LDR footprints to complete a Digital Maturity Self-assessment. Both of these steps have now been completed and each LDR footprint is asked to develop and submit its own Local Digital Roadmap by the deadline of June 2016.

Local Digital Roadmaps will be reviewed in July 2016 within the broader context of STPs. Further details on the process will be published in due course. A signed off LDR will be a condition for accessing investment for technology enabled transformation.

Guidance for developing Local Digital Roadmaps has been published. The associated templates can be downloaded through the links below:

More material to support the development of LDRs can be accessed through the following links:

A number of webinars took place recently to provide support in interpreting the Local Digital Roadmap guidance. Presentation slides and webinar recordings for sessions from each region are now available via the links below. We apologise for the poor sound quality on some recordings:


Midlands and East



If you have any queries regarding Local Digital Roadmaps please contact the NHS England team on england.digitalroadmap@nhs.net.