Intended for healthcare professionals


Community health services must be considered in proposals for integrated records

BMJ 1999; 318 doi: (Published 13 February 1999) Cite this as: BMJ 1999;318:467
  1. S Hume, Specialist registrar in child and adolescent psychiatry,
  2. P Robinson, Research fellow,
  3. RM Wrate, Consultant psychiatrist,
  4. A Gowans, Research assistant,
  5. D Manders, Consultant psychiatrist
  1. Young People's Unit, Royal Edinburgh Hospital, Edinburgh EH10 5HF
  2. Department of Child and Family Mental Health Services, Royal Hospital for Sick Children, Edinburgh EH9 1LF

    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 …

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