Re: another closed system with no upgrade path
However, in the UK, Epic has been implemented at University College London Hospital, Great Ormond Street and Addenbrookes, Cambridge. All university teaching hospitals, and one is a major trauma centre. There were lessons to be learnt (and indeed Addenbrookes was put in special measures by CQC, in part due to its EHR).
However, those bugs seem to have been worked out, and as an occasional user of the UCLH Epic, it is miles better than the rubbish they had before. I think Manchester and NI will pay handsomely, but it will be something that works.
If you want something that does not work and costs a fortune, try L*renzo by DXC. Developement funded by the UK taxpayer and then sold back to the NHS to use.
By all means, have a secondary care EHR developed that uses OpenEHR standards throughout (https://openehr.org/), but then you have to go to small vendors with fragile company stability.