[sungam]

Hi, fellow UK hospital doc so fully understand the frustrations with NHS IT. I suspect problems stem from the fact that purchasing decisions are generally made by individuals (management and senior hospital docs) other than those that use the systems (in the main junior hospital docs). The other issue is that systems are implemented to reflect the way that diseases and patients should behave but there are always edge cases that do not fit into these nice boxes. Striking a balance between free-form data input, which does not add much compared to conventional paper notes, and forcing patient data into categories and drop-down boxes is a a real challenge. The other thing that is often forgotten is the amount of clinician effort required for a system. If it takes too long or is too complicated accurate data will simply not be entered in the absence of draconian sanctions from above. Anyway there is clearly plenty of room for improvement so I wish you the best of luck!