The letters sent out are very dodgey
I ain't thick...... Yet I had to read my badly worded letter twice to realise WTF it was on about (putting our medical records on a national computer database). There was also no simple opt-out form attached, so I had to type, print and post my own reply opting out.
No wonder the opt-out rate is so low. Especially when the letter tells us how wonderful the 'new system' will be without explaining any of the negatives. Ten quid says the database gets left on a laptop in the back of a taxi.