Medical records and medical information in the U.K.—Issues and prospects

Medical care in the remainder of this century will increasingly demand improved information systems and better coordination among the various providers of care. One part of the solution must lie in giving the patients themselves all or part of their records as the only way of ensuring that all those involved in their care are adequately informed. For doctors themselves, the format of the clinical notes remains a major stumbling block to many developments, although improved systems are spreading. The Lloyd George envelope in general practice presents a particular problem which requires both long term solution and short term paliation. The changing computer technology is making possible new approaches, but also bringing new problems and a need for increased adaptability. Changes in organization and difficult decisions about the relation between centralized and decentralized services will be required. Planning in all areas must take a wide view to achieve systems which serve the interests and needs of all concerned: planners, health workers and, most importantly, the patients themselves.