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Sharing electronic health records
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     EDITOR—As we described in our first paper, we took great pains in the central Hampshire electronic health record project to discuss issues of confidentiality with the General Medical Council, BMA, Wessex Local Medical Committee, and Information Commission and we made considerable efforts to ensure that people in the community were aware of the project and were able to withdraw their record if they wished to. Despite these efforts, we had very low levels of response. Although the majority of those responses were in favour of record sharing, we did not "assert that most people support linked records" but rather observed that the issue of record sharing seemed not to be an important issue for the majority of people.

    Pheby also raises concerns about the risks associated with the national programme for information technology.1 Although we would not disagree that this is a risky programme, we wished to draw attention to several specific problems associated with the National Care Record Service, which can and should be addressed.

    Trina Adams, programme manager

    Hampshire and Isle of Wight Strategic Health Authority, Southampton SO16 4GX Trina.Adams@hiowha.nhs.uk

    Competing interests: None declared.

    References

    Department of Health. Delivering 21st century IT support for the NHS: national specification for integrated care records service consultation draft. Version 1.22 (26 July 2002). www.dh.gov.uk/assetRoot/04/07/16/77/04071677.pdf (accessed 18 Apr 2004).