The best (and perhaps only) solution to this would be a web-based system, interlinking all elements of the NHS. Imagine filling out the PRF on the MDT, and this automatically being Xreferenced with any documentation that the A+E use, so we can plot the outcome of the patient from crew arriving to (hopefully) discharge. Another use is incident reporting. If there is an incident you can then fill in an LA52/277 on the screen in the vehicle at the time, which will then go to the DSO. As it is all one big system, it will automatically know what incident you are reporting from linking the 52/277 to the prf AND the cad number. Any subsequent investigation will then have an easily traceable route. Combining all this would make it easy to create patient-oriented targets and also drastically improve the efficiency of the service. Am I being an idealist? Or should we enter the 21st century?