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RTCs were funded by, and thus accountable to, their RHAs, with medical and scientific oversight from the regional medical officer.

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Guidelines for Managing Records in Health and Personal Social Services Organisations in Northern Ireland provided records be retained 8 years after the conclusion of treatment.

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Guidelines for Managing Records in Health and Personal Social Services Organisations in Northern Ireland provided that records be retained 8 years after the conclusion of treatment or death.

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A Health and Social Services Circular called Preservation, Retention and Destruction of GP Medical Records provided that records be retained 10 years after the conclusion of treatment, the patient's death or the date on which the patient permanently left the country.

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The professional obligation on doctors to keep clear, accurate and legible records is set out in the General Medical Council's Good medical practice.

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The professional obligation on doctors to keep clear, accurate and legible records is set out in General Medical Council Protecting children and young people.

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The Caldicott Principles apply to the use of confidential information within health and social care organisations.

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Louise Williams, on behalf of the Lothian Health Board, provided evidence to the Inquiry confirming the board currently followed national guidance and provided current policies on document destruction. Copies of older policies were not available.

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A policy document entitled "Development and Management of Procedural Documents" was published by Lancashire Hospital NHS Foundation Trust setting out arrangements for developing and managing documents.

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An anonymous witness stated that when they contacted their hospital to obtain their medical records they were told they were "lucky as they should have been destroyed three years ago".

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An anonymous witness was unable to obtain a full set of his medical records, initially being told that they had been shredded and then later told that they had been placed on microfiche.

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In his written statement Dr Alexander Crowe explained how medical records are now registered on the Trust's Patient Administration System.

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Alistair Tough described the process for archiving, including the fact that only original documents are transferred to the archive repository and some have been digitised and made available for remote access.

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Louise Williams, archivist at the Lothian Health Services Archives, admitted that following NHS re-organisation in the early 1990s documents may have been destroyed.

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Cardiff and Vale University Health Board found a letter confirming a policy allowing for the destruction of records of patients who had not attended for treatment in over 8 years, or 25 years for obstetrics and paediatrics.

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Suzanne Rankin, chief executive officer of Cardiff and Vale University Health Board, acknowledged that documents may have been destroyed as part of the Health Board's restructuring.

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In her written statement, Caroline Leonard described how records were transferred to microfilm and microfiche from hospitals that no longer operated in Northern Ireland, with hard copy documents being destroyed.

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Liverpool University Hospital Foundation Trust was able to supply policies from 2004 but was not aware of documents predating that.

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Claire Alexander explained to the Inquiry how patient records were microfilmed in Liverpool.

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Ian Paterson told the Inquiry that before the central records inventory system was adopted, records were managed locally by services in Glasgow.

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