A digital-first hospital is rapidly being built at the Royal Liverpool and Broadgreen Hospitals University NHS Trust by its Chief Information Officer David Walliker. By eliminating paper records and digitising critical patient information flows, Walliker and his team have revolutionised care over the past 12 months – no more lost paper notes, plus a 45% reduction in complaints about notes being unavailable. Doctors and nurses record clinical interactions at the point of care through a range of devices, with consent for operations captured digitally, observations stored electronically and algorithms run to identify the most at risk patients needing clinical intervention. But Walliker has done a great deal more than just drive out paper. Take a pioneering sepsis care project. The hospital's e-sepsis system has integrated a number of clinical parameters, including patient observations and laboratory results. It automatically alerts clinicians when a patient with sepsis is identified, removing the need for manual intervention and allowing for early identification of sepsis, which has greatly improved treatment.