After several years of winning and delivering analysis and reporting projects at a local Trust and Health Authority level, Avoca were commissioned by the Department of Health to provide a national online analysis service to the entire NHS called the Online System for Comparative Analysis and Reporting (OSCAR). This service, the largest ever, was managed entirely by Avoca as a sub contractor to McKesson. Running successfully for two years up to the start of NPfIT, it had over 2000 users from Acute Trusts, Primary Care Trusts and Health Authorities delivering a range of web based reports on commissioning and performance analysis.

For this ground breaking project, Avoca handled 86 million inpatient, day case and outpatient records received from every hospital trust in England and provided a range of standardization, cleansing and derivation routines to make approx 128 million corrections / amendments to the data each quarter.