need to be shared with all professionals involved in a patients care in order to ensure that they are fully empowered to support the patient. Where the information is not shared in time to support a decision then we let the patient down and this is unacceptable in the current age. The Challenge was to provide this key shared record set and really help patients at a time when available funds were extremely limited. Armed with little funding but a great deal of determination, Humber, Coast and Vale accepted the challenge to work with their services leads to deliver an Integrated EPaCCS solution to it?s care providers and ultimately connect the record set into its regional Shared Care Record.