%0 Journal Article
%@ 2291-9694
%I 
%V 11
%N 
%P e53112
%T A Call to Reconsider a Nationwide Electronic Health Record System: Correcting the Failures of the National Program for IT
%A Morris,James Seymour
%K electronic health record
%K EHR
%K medical record linkage
%K health information interoperability
%K health information management
%K health information systems
%K information systems
%K interoperability
%K health records
%K medical records
%K national
%D 2023
%7 28.12.2023
%9 
%J JMIR Med Inform
%G English
%X The National Programme for IT (NPfIT) was launched in 2005 to implement 7 nationwide IT services across the National Health Service (NHS). Despite the success of many of these designated “deliverables,” the establishment of a single nationwide electronic health record (EHR) system never fully materialized. As a result, NHS medical records are now stored using a diverse array of alternate EHR systems, which frequently restricts health care practitioners from accessing extensive portions of their patients’ notes. This not only limits their ability to make well-informed clinical decisions but also impacts the quality of care they are able to provide. This article assesses the medical, economic, and bureaucratic implications of an NHS-wide EHR system. Additionally, it explores how the shortcomings of the NPfIT should be addressed when attempting to introduce such a system in the future.
%R 10.2196/53112
%U https://medinform.jmir.org/2023/1/e53112
%U https://doi.org/10.2196/53112