In September 1998, the NHS launched its new information strategy, Information for Health. Central to it were the concepts of electronic patient and health records and the adoption of electronic information and communication systems. The achievement of these objectives will require clinicians to record and code clinical data electronically and move from paper-based to paperless information and communication systems. However, even in practices that make extensive use of their computers, electronic recording of clinical data is usually incomplete. There are also many training issues that need to be considered. These issues need to be addressed if the objectives set out in Information for Health are to be achieved and electronic patient records are to be an accurate record of patients' health and healthcare.