"and for more information to be recorded at the point of care."
Oh, great.
The British Medical Association believes cutbacks will hinder efforts to allow patients to access their records online. The professional association for doctors says that many NHS organisations do not have IT systems which would allow patients online access to their medical details, and that computing is one of the first areas …
My doctor handed me the opt-out form the first time I saw him after it was announced you had to opt-out. Did the same for all of his patients.
Why would anyone want their medical information on a database somewhere, where it can be sold off to any "interested party" who asks, or made into some proprietary database format which becomes obsolete after 10 years. My paper records go back nearly 40 years and have survived fires (in the safe) and the surgery moving. I imagine they will still be accessible in another 40.
But individual doctors demanding or working on a solution to a problem tend to succeed.
Productising those solutions without losing control of them - obviously best done under a FLOSS licence - offers possibilities of successes.
The management is obsessed with centralisation of everything, alas. (And with avoiding blame)
Your current notes aren't on paper now, they are stored on the GP's IT system (usually EMIS on inVision) on their server.
Notes from before your surgery computerised (usually happened late 90s- to early 00s) will be held on paper, they are not generally in a safe, they will be on a shelf somewhere. When you move surgeries a print out might be generated for your doctor/secretary to manually transfer the salient details across to their computer but it might well just be an electronic transfer - no paper involved.
Electronic records already exist - they are just not centralised or accessible from outside your doctor's surgery(ies)