Expanse: Consultant Hub

Expanse provides a usable, efficient and safe Electronic Health Record (EHR) across HCA UK. This page contains useful information to help you access and navigate the system.

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Accessing Expanse

You need certain information to access Expanse (your two unique log ins and a password) and remote access set up (MFA and Citrix).

Two usernames

  • Your HCA username, used to log in to HCA computers
  • Your Expanse log in, used for MFA, Citrix and/or your HCA email

Password

The one you use to log in to HCA computers, Citrix, MFA and/or a HCA email account. This is your Expanse password.

If you do not know these details:

  • Call the ITG Service Desk (see p10 here)
  • If you need further assistance, contact your Business Development Lead.

Follow this guide for remote access, including how to set up MFA and Citrix: Access Expanse Remotely Guide & MFA Citrix set up.

Once you have all your details set up, please test them where possible.

Expanse

Expanse is live across all inpatient care at HCA and is being used by all providers of clinical care.

Use the details described above to log in via the desktop icon. 
Your profile is saved so wherever and whenever you log onto Expanse, you will see your favourite orders, documents and quick text.

Introductory training is provided as part of your on-boarding.

Please read the Consultant Pre-Course Materials

Follow the links below for guidance on specific workflows and video demonstrations.

Section 1 includes tips on:

  • Getting started
  • Documenting extras
  • Ordering and prescribing extras

Section 2 includes tips on:

  • Medication ordering
  • Prescribing

Section 3 includes tips on:

  • Specialties
  • UCC

Inpatients

  1. Logging In & the main menu
  2. Find your patient and opening their chart
  3. Navigating the chart
  4. Viewing results
  5. Requesting blood tests
  6. Request imaging and other diagnostic tests
  7. How to write in the notes
  8. How to review and add allergies
  9. Prescribing
  10. The 'Admit' order
  11. Viewing POA from the theatre list
  12. Writing the op note and signing post-op orders
  13. Updating the Problem List
  14. DNAR
  15. How to prescribe TTOs

Outpatients

  1. Accessing Expanse remotely
  2. Logging in
  3. Finding your patient and opening their chart
  4. Navigating the chart
  5. Viewing results
  6. Review and adding allergies
  7. Outpatient procedures and associated biopsy & sample orders
  8. How to view your clinic list

ICU

  1. Accessing the chart
  2. Reviewing the clinical notes
  3. Reviewing flowsheets
  4. Reviewing investigations
  5. The drug chart
  6. Documenting your clinical review
  7. Ordering investigations and prescribing

Other

  1. Anaesthesia end-to-end workflow
  2. Radiology workflow
  3. General overview videos
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Section 1: Getting started

Section 2: How to

Section 3: Workflows and specialty specific tips

Expanse will benefit our patients, clinicians, care teams and business partners. It powers innovation in healthcare and enables growth, with a suite of applications that can be used across the whole of HCA Healthcare UK’s ecosystem.

  • Modern user experience that delivers exceptional patient care: feature rich EHR with enhanced clinical coding including problem lists, allergies and surgical CCSD codes.
  • Electronic ordering: medications, labs tests, imaging tests, consult referrals and multi-modal order sets, supported by enhanced clinical decision support.
  • Secure remote access: access results, observations and records securely, at your convenience.
  • Imaging and lab result visibility: accessible patient chart, with diagnostic results in one place and graphs to monitor trends. Imaging and labs order history to view outstanding tests and links to view images. 

With Expanse, you can leverage data and information, and drive patient satisfaction and operational efficiency.

Consultant Change Leads provide a dedicated point of contact for your questions or concerns. They will guide you through the launch of Expanse, ensuring that you understand how it impacts your particular specialty and workflows.

Your contacts are:

Facility Contact Name
London Bridge Empire Dr Mark Garfield
The Lister Empire Dr Mark Garfield
The Wellington Empire Dr Abigail Clark-Morgan
The Princess Grace Hospital Dr Ekanjali Dhillon
The Portland Empire Dr Sabira Mohammad
The Harley Street Clinic Dr Ekanjali Dhillon
The Wilmslow Hospital Dr Sabira Mohammad
The Harborne Hospital Dr Abigail Clark-Morgan
Surgery Dr Mohamed Abdelhalim
Anaesthetics and ICU Dr Kiran Johal
Cardiology & Radiology Dr Omar Chehab

 

Below you'll find a link to some useful resources and you can get in touch with the Expanse team by completing the contact form below. 
 

Last reviewed: 23/1/2026