Rapid advancements in Information and communication technologies are set to revolutionise the National Health Service across UK and billions of pounds are spent on modernising the service. The technology enabled service in Scotland will have a considerable impact on the working lives of care providers. Nursing professionals, being the largest single professional group in the care service, are likely to be the most affected by it. Early consultations, dissemination of appropriate information and involvement of nurses, health visitors and midwives is vital for a successful Scottish e-Health programme. However, results from the Royal College of Nursing 2004/5 on-line surveys, reported here, suggest that the majority of respondents remain unaware of Scottish e-Health developments. The authors argue that more focused action is needed to enable more nurses to get involved in the design and implementation of new clinical systems.