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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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The local management of records in Belfast meant that there may have been multiple locations where records were held in separate repositories.

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Caroline Leonard told the Inquiry that records management in Belfast had previously been managed locally by services.

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According to Caroline Leonard, different names of patients, such as middle names, had been used to register patients in some Belfast hospitals.

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Dr Gerard Dolan told the Inquiry that when he arrived at Nottingham "there had been a significant issue with case records".

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Professor Gordon Lowe told the Inquiry that "there was a general recommendation by the UK Genetic Disorder Society...that it was preferable that records [for individuals with haemophilia] not be destroyed".

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