Digital Records in NHS Multidisciplinary Working: What Good Looks Like
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Multidisciplinary working depends on shared understanding. Without accessible, accurate digital records, MDTs rely on fragmented information and professional judgement alone.
NHS commissioners expect providers to contribute effectively to MDTs through robust digital record-keeping.
This links closely with multi-agency working and digital care planning.
The role of digital records in MDTs
Digital records support MDTs by:
- Providing a shared care narrative
- Reducing reliance on verbal updates
- Supporting evidence-based decisions
They form the backbone of coordination.
What commissioners expect to see
Commissioners expect records to be:
- Timely and up to date
- Consistent across teams
- Accessible to relevant professionals
Incomplete records undermine MDT effectiveness.
Operational impact on frontline teams
Well-designed digital records:
- Reduce duplication of assessments
- Improve handovers between services
- Support continuity of care
This saves time and improves safety.
Balancing detail with usability
Commissioners recognise that:
- Overly complex records reduce compliance
- Free-text alone limits oversight
- Structured data supports reporting
Providers must strike the right balance.
Information governance considerations
Digital records must align with:
- Role-based access controls
- Clear consent frameworks
- Audit and traceability requirements
This protects confidentiality while enabling sharing.
Using records to evidence quality
High-performing providers use records to:
- Evidence decision-making
- Track outcomes over time
- Support quality assurance
This strengthens commissioner confidence.
What good looks like in practice
Commissioners are reassured when providers can:
- Demonstrate MDT-aligned records
- Show consistent staff use
- Evidence improved coordination
Digital records become a system asset.
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