I am wondering how a completely 'paperless' system might work in the NHS. Anyone becoming an in-patient - and probably an out-patient also - is accompanied with a file of notes which are referred to by most staff who deal with that patient. My mind boggles at digitising all that, tho I can see the attraction of putting it 'on-line'. That may account for some of the horrendous failed projects we have all heard about.
The problem is that on the other hand, paper records can and easily do go missing, and not just NHS records. About 20-odd years ago, the company I was working for had a large contract with a certain 'telephone operator' who was in the process of sorting out and centralising their huge amounts of paper records of building services equipment for their huge number of buildings.
Most of it was unreferenced all over the place, and thus trying to determine what equipment was where, its exact age, maintenance record and manuals was almost impossible. Those that were found were then supposed to be catalogued, organised, and then sent to a 'new' (likely just a redesignated) central storage facility in Coventry before they eventually would be scanned to keep as a digital copy.
Needless to say, (apparently) a large percentage of the alread patchy amount of information was 'lost' by the time it reached the central storage facility. These weren't copies, but originals that had no copies made. They are probably somewhere, just that no-one knows where to find it. I had visions of the 'Indiana Jones' storage facility.
It mean the company had to spend a small fortune (nice for us consultants) to re-survey buildings and equipment to a high degree every time a new project was undertaken, rather than a much smaller level combined with accessing locally-held records. Some buildings were far better run than others and kept decent records and kept copies 'just in case' they went missing during the big project.
I also remember ta similar terrible level of paper record-keeping on the Tube when I worked for one of the PPP firms a few years later, where they had to spend £Ms (just on three tube line) on similar surveys because of lost / misplaced / destroyed records.
I can see why top management would want a digitised central records system, at least of copies in case info 'went missing' locally, as it often did. Fax-born data is, to me, really only a short term information medium for instant responses where fast broadband connections are difficult.
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