Every day hundreds of thousands of patients records, in paper-form, is transported around the country.
If you see a consultant, your paper records precede you.
Go into hospital?
They're there first!
They're not kept there either, after you get out, or die, they're transported to storage.
Complicating things now is the requirement that the same system has to provide the records to private healthcare companies outside the NHS.
And for those who think we're neck-deep in management, we're not.
Some 4.5% of NHS employees are primarily admin (1.3 million workforce (ish)), compared to a commercial company admin headcount of around 15%.
Lots of those are retiring...and getting new employees up to spec on a system heavily dependent on encyclopaedia sized volumes of paper records is hard work.
There are porters wheeling hundreds of KG of paper records around every hospital...every day....delivering them to wards and clinics. So got lost?
And you're surprised?
Wait 'til they're all digitised...then get lost in their entirety...