Like the sick blue parrot that tweets no more, the care record is trapped. Caged in vendors Electronic Medical Record management systems stuck on organisational islands and unable to move freely around its health and care ecosystem.

Freeing the care records stranded on islands of electronic medical records is critical if we are to join up care in England.

Judy Falkner has identified the barriers; I offer an alternative to her “solution”.

Inca Stonework - Puka Pukara, Cusco, Peru

A couple of years ago I had the pleasure of visiting Puka Pukara high above Cusco in Peru. The work in building this fortress demonstrates attention to detail. Each stone is carefully shaped to fit into the overall architecture. Edges …

Inca masonry – key to interoperability? Read more »