Access and management of real-time data to support decision-making, insights and planning, is critical to effective health delivery. Telling your story once and having a single joined-up electronic record to ensure safe and effective care, is a must. As a Digital Aspirant Plus Innovator we have an opportunity to co-design and optimise the usability of our electronic health record; to create a persistent data layer allowing us to connect with partners and deliver the best, informed care; and to develop national blueprints for others to follow.