Abstract
Informatics in Primary Care publishes an abridged version of the Hayes report; probably the most significant review of the UKNational Programme for IT: Connecting for Health. It sets out the principle that the top priority for the electronic patient record (EPR) is providing individual patient care. It is in many ways surprising that these principles need stating at all. However, it is all too easy for those charged with providing record systems to lose sight of this and for managerial goals to supplant the needs of effective patient care. It is conceivable that these may become the ‘Hayes principles’ which those developing health IT systems will forget at their peril:
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