Community health services must be considered in proposals for integrated records

EDITOR—Rigby et al argue that without the sharing of clinical information it is difficult to achieve integrated care that focuses on the patient1; this undermines the effective functioning of extended primary care teams (however constituted) on which the NHS will increasingly depend. Our recent experience during a review of the primary care records of adolescents in Edinburgh suggests that attention should be paid to health professionals' skills and behaviour and to organisational factors.

We found that antenatal and birth data were generally missing from the …