Changing to A4 folders and updating records in a "busy" general practice

When the FP5/6 record envelopes were converted to A4 folders in a busy practice a system of updating preventative health measures was begun and a disease index constructed. All the day-to-day work was delegated to lay staff, and the whole primary health care team participated in the updating procedures. The exercise, although expensive, was considered to be most worth while and has improved the quality of patient care.