Royal Devon and Exeter (RD&E) Health Trust provide specialist and emergency hospital services to around 400,000 residents and visitors in south-west England. With the move to a paperless NHS by 2018, and the practical need to invest in more storage space should the records remain in a paper-format, RD&E committed to implementing a compliant BS 10008 Electronic Information Management system. This focused approach to digitizing records has not only helped achieve operational efficiencies and cost savings in the short term, but has opened up the potential for additional income through the sale of paper sites. By gaining independent certification RD&E have the confidence that its system meets recognized best practice, inspiring confidence management and authenticity of its electronic records.