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Of all the tasks GPs are set, this seems truly impossible...

You asked for an analogy for the NHS IT modernisation programme (News, November 8).

It's like the national rail service 100 years ago ­ hugely expensive and eventually most people won't want to use it, but the goods get from virtually anywhere to anywhere.

Far better to have it like the international air service ­ very little infrastructure to maintain.

Just give each patient their own 'read-only' medical notes on a disk to have with them. Backed up at their last GP surgery, re-backed up at PCT level.

It might not be the perfect solution, but it's a lot better practically than the armchair boffins' ideas.

Dr John Fitton



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