• Arabella Clarke, Ian Watt, Laura Sheard, John Wright, and Joy Adamson.
• York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK.
• Br. Med. Bull. 2017 Jan 1; 121 (1): 95-106.

BackgroundA 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.Sources Of DataNational NHS IT policy documents and evaluations of national NHS IT policy between 1998 and 2015.Areas Of AgreementThere has been limited progress in implementing integrated electronic records in secondary organizations since 1998.Areas Of ControversyThe management and execution of NHS IT policy has been poor, with over ambitious aims contributing to the limited success.Growing PointsDetailed guidance on how to implement electronic records in secondary care organizations is required. The ambitions of current policy should be revisited.Areas Timely For Developing Further ResearchResearch exploring the costs and benefits of different approaches to introducing electronic records is needed.© The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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