CSW has a proven record of delivery for over 15 years to a prestigious client list and is recognized as one of the fastest growing technology companies in the UK. Since December 2003, CSW's products and services having been selected as key components of the NHS Care Records Service (NHS CRS) or 'Spine' in England.

Case Notes has also been used as the product base for the Technical Proof of Concept (TPoC) for the Single Electronic Health Record in Wales; assessment systems in London; and smaller Trust-based solutions across the UK. It is currently in use at over sixty live sites.

Since 1998, customers of CSW's content and knowledge management product, KMS, have included the Pharmaceutical Press (for production of the British National Formulary); BMJ Publishing Group; BBC Monitoring; the United Nations FAO; and Jaguar Cars.