BT and Accenture have won contracts worth £2.7bn from the Health Service's National Programme for IT.
BT has been awarded the £620m contract for the NHS Care Record Service, a national electronic patient record, which is at the heart of the National Programme. The telecoms giant has also won the Local Service Provider contract for London in a deal worth £996m.
Accenture has been confirmed as the Local Service Provider for North East England, including Yorkshire and Humberside, in a contract worth almost £1.1bn.
The contracts follow October's £64.5m award for the national Electronic Booking Service to SchlumbergerSema.
The three remaining Local Service Provider contracts will be awarded later this month or in the new year, the Department of Health said.
The contracts have been agreed despite the fact that the DoH does not know the cost of changing working practices that the new technology will require to be used effectively.
The British Computer Society’s Health Informatics Committee warned that costs of critical business and other changes could exceed by four to eight times the £2.3bn allocated to the national programme for IT by the government.
It added that the national programme will “require unprecedented business process re-engineering in order to deliver”.
In an interview with Computer Weekly, Mark Outhwaite, lead for the national programme at the Modernisation Agency, part of the DoH, said, “We have not worked out how much money is needed. We will decide the implementation plan,” after the contract award.