12 years of experience in providing Healthcare Integration Managed Services within high frequency message processing environments involving multiple EPR’s and integration engines for some leading NHS trusts in the UK. Our large scale healthcare environment processes 300,000 messages per hour, 5 Million documents to GP's since 2017, 15 million care records per week and 1TB of data in real time and it is growing 15% quarterly because of the increasing data requirements across the departmental systems which themselves are also increasing at the rate of 5%.