Abstract
A number of different policies have aimed to introduce electronic records into National Health Service (NHS) secondary care organizations in England over recent years. There has been little formal attempt to explore the overall impact of these policies (as opposed to evaluations of individual initiatives) and how they have developed and progressed over time. National NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015. There has been limited progress in implementing integrated electronic records in secondary organizations since 1998. The management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success. Detailed guidance on how to implement electronic records in secondary care organizations is required. The ambitions of current policy should be revisited. Research exploring the costs and benefits of different approaches to introducing electronic records is needed.
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