Bizarre advertising

So, there appears to be a new Microsoft XBox 360 campaign running on UK TV, hot on the heels of the annoying Windows 7 shorts - I caught it last night on ITV. The first part of the catch phrase is:

Here today
which any rational observer would expect to be followed by
Gone tomorrow
But instead we get
Ready for tomorrow
Now, which slogan sticks? The one you expect, or the one you get?

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Physiology, training and the Masters cyclist

Pez Cycling has a brief article (Toolbox: What Does Every Masters Athlete Have in Common?) which touches upon the physical decline that faces the ageing athlete, and what to do about it.  For one in his second half century, there's always something a little depressing about such articles, but at least there is advice, most interestingly on the subject of recovery from training:

To me, the key is fitting workouts together like a puzzle. For example, perhaps one day the focus of the workout is strength type efforts, where the cardiovascular system is not overly stressed, but the essential component of strength is benefited. The next day, a focus can be more aerobic. In other words, you are working on different “systems” on different days.One addition item. In a recent study, 75% of athlete’s polled (not sure of the amount in the study, but it was large) said they applied some type of recovery program to their training, like recovery drinks, massage, etc. I still think the biggest and most important, regardless of all the other things you try is sleep.
Anyway, I'm encouraged by my performances this season - routinely hitting levels I've not seen since 2004.  A testament to more structured and analytical training?  Or just luck?

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Hemel Hempstead '25' F13/25, 27th June 2010

It certainly seemed as though summer had arrived when I arrived at Launton for the Hemel Hempstead '25', held on the F13/25 course.  Riding out to the start, it was immediately clear that my headset adjustments made before leaving home had left the bearings too tight.  I returned to the HQ and retrieved my mini allen key set.  A quick adjustment and I was on my way (with the allen key set in my pocket to be on the safe side).Before starting, I reconnoitred the finish area, since on a previous outing in this event, I'd been misdirected off-course by a charity ride marshal. It was quite clear that the finish comes after an annoying little climb.  I also straightened my handlebars a little. Lining up at the start, rider #4 asked if I had an allen key, as his saddle clamp (this was also on a Cervelo P3) wasn't tight enough - I was happy to oblige, and I think he was rather relieved.  Unbeknownst to me, #3 also had a mechanical - the nipple on his front mech cable had just popped off the cable en route to the start.  I've never seen this happen before!  He bodged a permanent shift to the big ring by wedging a stone in the front mech, which must be the most enterprising start line tech fix I've ever heard about!Anyway, my start finally arrived, and after some banter with the start line crew, it was off and joining the A41.  The F13/25 cruises along the A41, through Waddesden (where there is a pedestrian crossing with traffic lights - running red lights earns a DQ), turning at the first roundabout in Aylesbury.  The course is cerainly not flat, and there are some quite stiff, but fortunately short little climbs.  In particular, the road surface has degraded quite badly between Waddesden and the turn, particularly after the turn.  I'd caught all three riders in front of me before the turn, so the return leg was a little lonely.  And surprisingly tough - more so than the outward leg.  At least I never got caught at the lights in Waddesden (unlike the unlucky rider #3).By the time I reached the little rise to the finish turn, I was really hot, tired and my HRM was reaching in excess of 190bpm.  At last, I turned and yanked the gears up a notch for one last hammer down to the finish line.  My time of 58:50 was good enough for 10th place (start sheet of 49 riders had several non-starters.  the event was won in impressive style by Danny Axford with a 53:22.After the event, we pushed off to the Waddesden Garden Centre so C. could buy some requisites for the garden.  Oh and coffee and cakes.  Then home, where after lunch we nipped out on the Longstaff tandem for a 20 mile circuit.  A bit hot, really, and my legs knew about this morning's effort.
View F13/25 27/6/10 in a larger map

PosNoNameClubTime+/-stdStd Pos
150Danny AxfordArctic Premier RT53:22
245Jesse ElzingaBeeline Bicycles RT55:46
320David JohnsonVC1056:08+16:032
440André DyasonSt Ives CC56:22+14:453
537Thomas BellTwickenham CC57:44
615Pete LawrenceVC1057:51
722Thomas SutherlandTwickenham CC57:53
825Neill CoventryAPI-Metrow57:55+14:166
935John DowlingHemel Hempstead CC58:19+14:245
105Robert SaundersNorth Bucks Road Club58:50+12:178
1121Jonathan PageBicester Millennium CC1:00:15+13:017
1211John BourtonBicester Millennium CC1:00:18+14:374
136Stephen HewittHemel Hempstead CC1:00:48
1416Jonathan GillhamStevenage CC1:01:04
1542Nigel AtkinsTwickenham CC1:01:17
1628Clifford PriceLondon Dynamo1:01:30
1710Ian BrazierVerulam CC1:01:35+8:2913
1849Rob LuffBrighton Excelsior CC1:01:35+11:0810
194Neil FisherWelwyn Wheelers1:01:40+4:5017
203Mark SmeeFenland Clarion1:02:59+6:3415
219Richard HuttLampard RC1:03:17+8:5412
2236Christopher GreigVC101:03:44
2348Simon HemingtonHemel Hempstead CC1:03:52+2:0819
2427Jody ConibearHemel Hempstead CC1:04:30
2518Ian HuntingfordHemel Hempstead CC1:05:31+6:0816
267Julian BarnardDulwich Paragon1:05:35+6:3614
2717Tim CareyA5 Rangers CC1:05:44+3:4918
2814Steven AbrahamNorth Bucks Road Club1:06:41
2933Nikki HuntVTTA1:07:04+17:181
3032Les ChurchCamel Valley C&TC1:07:19
3134Josephine PerryThames Turbo1:08:36
3224Robert MajorWelwyn Wheelers1:09:111:1121
3347Brian ForanLampard RC1:09:21+1:4620
348John WheelwrightNorth Bucks Road Club1:10:25+10:1611
3538John PfeiferIcknield RC1:10:51+11:399
3644Stephen RoffeHemel Hempstead CC1:12:514:5123
3719Christine YuillStevenage CC1:15:25
3829Michael RichardsonIcknield RC1:24:042:1122
392Nigel GoffinHemel Hempstead CC1:25:129:4324
43William McFarlandEast London VeloDNFWent off course
PosNoRiderClubTime+/-stdStd PosWom Pos
150Danny AxfordArctic Premier RT53:22Ax-man
245Jesse ElzingaBeeline Bicycles RT55:46Alice Gordon
320David JohnsonVC1056:08+16:022Dave27
440André DyasonSt Ives CC56:21+14:453psychic_dog
537Thomas BellTwickenham CC57:43Team
615Pete LawrenceVC1057:51cbscratcher
722Thomas SutherlandTwickenham CC57:53Team
825Neill CoventryAPI-Metrow57:54+14:156
935John DowlingHemel Hempstead CC58:19+14:245JaDed
105Robert SaundersNorth Bucks Road Club58:50+12:168Grumpy Bob
1121Jonathan PageBicester Millennium CC01:00:15+13:017Torque Converter
1211John BourtonBicester Millennium CC01:00:18+14:364
136Stephen HewittHemel Hempstead CC01:00:48S Hewitt
1416Jonathan GillhamStevenage CC01:01:03
1542Nigel AtkinsTwickenham CC01:01:17Team
1628Clifford PriceLondon Dynamo01:01:29flyingpig
1710Ian BrazierVerulam CC01:01:34+08:2913
1849Rob LuffBrighton Excelsior CC01:01:35+11:0710
194Neil FisherWelwyn Wheelers01:01:39+04:5017
203Mark SmeeFenland Clarion01:02:59+06:3415
219Richard HuttLampard RC01:03:16+08:5412rjh
2236Christopher GreigVC1001:03:44
2348Simon HemingtonHemel Hempstead CC01:03:52+02:0719
2427Jody ConibearHemel Hempstead CC01:04:301
2518Ian HuntingfordHemel Hempstead CC01:05:31+06:0816
267Julian BarnardDulwich Paragon01:05:34+06:3614
2717Tim CareyA5 Rangers CC01:05:44+03:4818Blob
2814Steven AbrahamNorth Bucks Road Club01:06:41
2933Nikki HuntVTTA01:07:04+17:1712
3032Les ChurchCamel Valley C&TC01:07:19
3134Josephine PerryThames Turbo01:08:363
3224Robert MajorWelwyn Wheelers01:09:11–01:1021Mr.M
3347Brian ForanLampard RC01:09:21+01:4620brianf
348John WheelwrightNorth Bucks Road Club01:10:25+10:1511
3538John PfeiferIcknield RC01:10:51+11:389
3644Stephen RoffeHemel Hempstead CC01:12:51–04:5023
3719Christine YuillStevenage CC01:15:254
3829Michael RichardsonIcknield RC01:24:04–02:1122
392Nigel GoffinHemel Hempstead CC01:25:12–09:4324
43William McFarlandEast London VeloDNFWent off course

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Grumpy Bob in action on the E2/25

Here's a photo of me on the new bike, in action in the VTTA '25' last weekend.  Apologies for the vanity posting![caption id="attachment_902" align="alignnone" width="622" caption="Riding the VTTA '25' on the E2/25, 19/6/10"][/caption]As noted, the photo is copyright Sarah Brooke.  Visit her website for photos of this event (and other events).

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The Times website requires registration - web traffic drops

One of the more irritating things about the internet is the apparent inability of the "old media" to "get it".  Rupert Murdoch's recently started to implement a program of changes to his News International newspaper websites.  I noticed the other day that access to pages at some of the UK newspaper sites required me to register for free.  I declined - The Times doesn't exactly square with my political world view, and I figured that I'd later get harassed to begin paying.  Ars Technica has published an article on the immediate impact of the new access policy (UK paper requires free Web accounts; traffic plunges).

But, according to Hitwise's numbers, simply adding the registration barrier has cut traffic to the site almost in half. Prior to the change, The Times was seeing somewhere in the neighborhood of four to five percent of the traffic going to the print news media category; after, it was hovering around two percent.Hitwise also tracked where users were going once they hit the registration page. About a third stay on one of The Times' properties, but many head straight to another news site (The Telegraph and The Guardian are big winners here), or simply to Google.
Ars Technica does note that the data depend on a single company's analysis.  What'll be more interesting to me will be the consequences of a shift to a payment mode.  Will this push more of the traffic towards the other broadsheets' website?  And in the long-term, will the income compensate for loss of page views?As an aside, over the last couple of years, AP has been moving to protect copyright on its news service.  How about the content of this news story (which you will note is copyright, so I'll merely state the entire story is 14 words long.

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Astwood '10' 23/6/10 - summer's here!

Well, a bit of a change from the weekend's racing - a lovely sunny and warm evening greeted us as we gathered for the NBRC's club event on the Astwood circuit.  In actual fact it was the sort of evening that would have been rather pleasant to spend sitting in a pub garden sipping beer...but that was not to be as I lined up, yawning, to ride as #13 in this evening's event.We had a good turnout of 18 riders plus a tandem pair - we even had a visiting rider, Emma from Gillingham & District Wheelers, who'd enquired about the event via the NBRC website.  Emma turned out on her mountain bike.  Other notable riders included the "legendary" Karlo Porter.  I say legendary because people where he and I work keep saying "You must know Karlo", and because his club hill climb record for the Bow Brickhill course will be 20 years old next year.The light wind was enough to take the edge of my speed as I headed off towards Chicheley, but once round the corner the speed picked up substantially and before I knew it I was approaching North Crawley. I was riding without speed most of the time as the GPS kept dropping connection. By this time I was feeling a little "dry", but decided to hold off on drinking until the finish.Once through Crawley, it was the usual scramble to get back up to speed, but I felt pretty much OK other than being a bit thirsty!  The final push up the climb to the finish was really tough as I was determined to catch #12 (Darren) - unfortunately I failed!Tony took the honours, despite suffering a broken spoke on his from Zipp.  I was pretty pleased - according to Tony F.'s records, this is my fastest ride at Astwood since May 2006.

Pos. on
PosNoNameClubTimeCatVets Std.+ / -Vets Std
110Tony ParksNBRC22.42V4526.30.+ 3.484
219Aaron McCaffreyAW Cycles.co.uk22.49V4025.30.+ 2.416
315Will HiltonVirgin Active23.06S
413Robert SaundersNBRC23.21V5027.33.+4.122
516Chris DunwoodieTeamMK23.37S
66Brian PrimettNBRC24.01V4326.06.+ 2.057
712Darren HaydonNBRC24.20S
87John BuchananTeamMK24.58V4025.30.+ 0.3211
98Trevor HookTeamMK25.15V5227.59.+ 2.445
1014Karlo Porter- PricePrivate25.46V4626.42.+ 0.569
114Clive FaineTeamMK26.12V6330.30.+ 4.181
1218Richard PrattBeds Roads CC26.43V5127.46.+ 1.038
1317Gilbert WheelwrightNBRC27.26V6731.30.+ 4.043
141Alan LawsonNBRC28.02V4225.54.- 2.0812
152Eddy PageNBRC28.36S
169Nick CrookNBRC28.41V5929.34.+ 0.5310
175Emma BradleyGillingham & Dist. Whls.31.38LMTB
DNF3Chris WhiteNBRCOff courseL
Tandem Event :-
11Kevin StokesTeamMK21.21V47
Geoff PerryTeamMKV50
Time Keepers :- Steph Cousins & Tony Farmborough NBRC

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British Time Trial Championship 2010

Somewhat to my surprise, the other half of Team Grumpy volunteered to organise the 2010 British Time Trial Championship.  This meant of course that I felt duty bound to offer a spot of web support.  We ended up deciding to use the Team Grumpy website to host the course description and other contact information.Now riders are beginning to think about entering, Team Grumpy has swung into action to add information to the site.You can see a listing of BTTC pages.Entry forms are available on this page.You can follow website updates on Twitter or by our RSS feed.An outline of the course.

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VTTA '25' E2/25 19th June 2010 - This is June?

Checking the BBC weather forecast before setting off with my North Bucks Road Club team mate Tony, I was a little worried.  While the forecast was for white clouds and light showers, the wind was straight from the north and about 21-22mph.  It should also be evident from the weather icon to the left that the BBC turned out to be rather economical with the truth!As we drove over to Newmarket, Tony and I got increasingly worried about the weather.  The wind was certainly as forecast, the trees and foliage were bending alarmingly.  More bothersome were the heavy showers that were cruising along.  Some of the showers were really very heavy.  Reaching Newmarket, we found the race HQ rather more easily that in the past (cf the API-Metrow event last summer) - it was in a modern and rather swanky leisure centre.  We grabbed our numbers and waited for a particularly heavy shower to pass before going back to the car and driving over to a wide-verged lane near the start.We sat in the car while more heavy showers came over.  I got ready, but sat in the car.  At some point Tony realised that he'd forgotten a crucial bit of kit - his skin suit!  This gave him a pretty good excuse not to ride in vile conditions...  I waited in the car until the rain eased, then rode over to the start.  So - no warmup! I realised pretty quickly that my GPS unit was on the blink, so I ended up riding with only the timer and heart rate to inform me of my effort.Down the sliproad and onto the course.  I wished at this point that I knew what speed I was cruising at - it seemed fairly easy (despite pushing a very big gear) and I quickly raised my HR to respectable levels.  The outward leg clearly benefitted from the stiff wind, which was something of a diagonal tailwind.  A map of the E2/25 can be seen in my report on my previous outing on this course, the Lea Valley CC '25' on 10th April.  I reached the turn in around 25 minutes, had a bit of interference from traffic at the turn, and set out on the return leg somewhat worried about how tough it would be.In the event, the return leg was a fair bit easier, with some shelter from the wind provided by the hedgerow, particularly on the later section on the A14.  At places the broken nature of the hedgerow made for very gusty and buffeting conditions.  Overall, though, I didn't suffer particularly from rain - indeed the far end of the turn seemed bone dry.As I got closer to the finish, I became increasingly optimistic that I might pull off a decent time.  I was momentarily flummoxed by the cones up the finish sliproad as at first I couldn't see the timekeeper.  I checked my computer as I crossed the line and figured I'd done 55:29 (confirmed later in the race HQ).  This is 9 seconds faster than I did in the Lea Valley event, and this now becomes my fastest '25' since 2004, so my form continues to pick up.More to the point, what a horrible day it was - not what one would expect from mid-June!Results

PosNoRiderClubGroupStandardTIME+/-stdPos Std
1120Peter BallsWest Suffolk WheelersEA01:07:6050:12+17:4715
215Mick HodsonSt Ives CCEA01:06:0051:15+14:4528
3110Ian CammishPlanet XEA01:12:4351:26+21:179
4105Stuart WalkerWalsall RCC51:36
560Neil DowieShorter Rochford RTEA01:07:3053:15+14:1529
675André DysonSt Ives CCEA01:11:0753:33+17:3318
7100Ken PlattsCambridge CCEA01:15:2953:47+21:418
845Tony MayNorth Road CCEA01:12:1154:14+17:5714
970Stephen WilkinsWalsall RCCMids01:12:4354:40+18:0313
1090Michael WillsHinkley CRC54:44
1161Ron Keeble34th Nomads CCKent01:18:5555:10+23:442
12111John GolderChelmer CCEA01:14:5555:12+19:4210
1330Robert SaundersNorth Bucks RC55:29
1440John IszattAPI Metro - SilverhookEA01:11:3955:53+15:4524
1546Colin BunnettKings Lynn CCEA01:20:4155:59+24:411
16106Neil Colvin7 Oaks TriKent01:12:4356:04+16:3819
1735Malcolm JeffriesVC ElanKent01:06:3056:27+10:0338
18107Carmelo LuggeriCC AshwellEA01:12:4356:46+15:5722
1916Clive NyeSan Fairy Ann CCKent01:12:4356:58+15:4425
2011Geoff BunyanSpirit Racing57:04
21124Graham PainterChelmer CC57:11
225Tony BoardmanTeam SwiftMan & NW01:13:1657:24+15:5123
2380Simon BestNorth Road CCEA01:07:3058:05+09:2442
2431Christopher YorkMaldon & District CC58:17
2587Mike SheanFord CC58:20
2641Ralph RichardsonHinkley CRCMids01:08:3158:33+09:5739
2756David RogersHemel Hempstead CCL & HC01:12:1158:34+13:3631
2812Clayton KnightEasterley RCEA01:10:3558:52+11:4335
28126Peter ThomasWest Kent RC58:52
30125Simon BoyleStowmarket & Dist CC58:53
3143Bill BroadfieldFlitch CronoEA01:21:5358:54+22:585
3267Andrew BrightTeam Sanjan DesignEA01:07:0059:05+07:5446
3372Alan CraneTeam Sanjan Design59:09
3412Peter HardimanMaldon & District CCEA01:14:5559:12+15:4226
356Richard MouleBossard Wheelers CC59:27
361Jeremy TempleVC Elan59:28
3711Michael CoulterGravesend CCKent01:17:4559:34+18:1012
3896Steve PeckNewmarket Cycling & TriEA01:12:1159:52+12:1834
3926Peter AndersonKingston WheelersEA01:16:0301:00:04+15:5921
406Corinna FrancisChelmer CC01:00:12
4117Peter WaltonHerfordshire WheelersEA01:13:4901:00:23+13:2532
4264Roger SelmesWolsey RCEA01:18:2001:00:41+17:3917
4357Andrew GibsonGravesend CC01:00:51
4458John ParkesWolsey RCEA01:19:3001:00:58+18:3111
45113Brian MartinPCA Ciclos UnoEA01:17:1101:01:33+15:3827
4673Michael FryGlendene CCEA01:10:3501:01:38+08:5744
4729Peter LockVictoria CCEA01:07:3001:01:44+05:4549
4832Geoffrey MartinGlendene CCEA01:13:1601:01:46+11:3036
498Ann ShuttleworthChelmer CCEA01:11:3901:01:48+09:5140
5033Brian Lusk45 Road ClubEA01:09:0201:02:00+07:0148
5177Stewart KirkCC SudburyEA01:14:5501:02:05+12:4933
5253Dominic Whitehead29th Wheelers CCEA01:11:3901:02:10+09:2841
5338David MellorChelmer CC01:02:48
542Keith DaltonSouthend WheelersEA01:12:1101:02:55+09:1543
55102Merv PlayerHerfordshire WheelersEA01:26:5601:03:30+23:263
559John Dupen (T)Godric CCEA01:20:0501:03:30+16:3420
5723Brian ForanLampard RCEA01:11:0701:03:32+07:3447
58118Peter BaumberCambridge CCEA01:28:1401:04:57+23:174
593Trevor ParrishA5 Rangers CC01:04:59
6018Adrian Perkin (T)Godric CCEA01:27:3501:05:37+21:587
617Angela NyeSan Fairy Ann CCKent01:16:3701:05:40+10:5637
6213John BainesYorkshire RCYorks01:23:4401:06:00+17:4316
63104Peter HorsnellChelmer CCEA01:28:5401:06:54+22:006
6484Andrew PorterWelwyn WheelersEA01:10:0401:09:09+00:5454
6536Karl ReadNorth Norfolk Whlrs CCEA01:07:3001:11:51–04:2156
669Jeanette DegiorgioVictoria CCEA01:17:4501:12:54+04:5051
674Bob LoaderSydenham WheelersKent01:26:5601:13:03+13:5330
682Lynda GeorgeMaldon & District CCEA01:19:3001:14:23+05:0650
6919Ray LeggWest Suffolk WheelersEA01:18:5501:14:55+04:0052
70114Brian FosterNorwich ABCEA01:24:2201:15:45+08:3645
7169Phil PaffeyChelmer CCEA01:11:0701:20:47–09:3955
723Barbara LawCC SudburyEA01:25:0001:21:04+03:5653
59Chris HutchinsonRedbridge CCEA01:14:55DNF
22Geoff BoresFord CCEA01:13:49DNF

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Two views on the NHS Summary Care Record

Having opted out from having my medical records exposed to an astounding number of people via the NHS Summary Care Record (SCR) scheme, I'm always interested in seeing opinions on the SCR. There are a couple of open access opinion piece articles in the British Medical Journal. In the first, Mark Walport (Director of the Wellcome Trust) offers the view that the SCR will do more good than harm (Do summary care records have the potential to do more harm than good? No -- Walport).  Walport takes the view that the SCR represents an excellent opportunity to benefit medical research - I have to confess that the usage of the SCR as a research tool had escaped me, and it occurs to me that this isn't one of the original functions intended for it.  I'd also worry that this would represent a further extension of the already large group of people with access rights to the data.  As Walport says:

The primary purpose of electronic patient records is to improve patient care. As a patient I expect the following: that my records will be accurate and that I can work with my carers to improve their accuracy; that they will be treated confidentially; that they will be shared between the members of the healthcare team that collectively look after me in primary care and in hospital; and that they will provide a basis for accountability for the quality of my health care. In addition I would hope that my records could be linked to "expert systems" that would minimise the chance of treatment errors and maximise the chance of my being prescribed the best treatment.
Of course the expected benefits depend on quality data being entered in the system, and this is one issue that's been highlighted as a potential problem (though it's been noted that GPs and other medical practitioners make informed judgement on the information held).  As an aside, how accessible will these data be to a practitioner attending to someone who's unconscious on the roadside?  How quickly can unambiguous identification be made?In a counter opinion, Ross Anderson (Professor of Security Engineering, Cambridge University) takes an opposing view (Do summary care records have the potential to do more harm than good? Yes -- Anderson), principally taking into account the security of the data, the potential for misuse, and indeed the illegality of the means of enrolling patients into the scheme.  As one might expect, Anderson approaches the issue from a very different perspective than Walport - that of data integrity and security.  Anderson points out:
The showstopper though is privacy. In 2008, the European Court of Human Rights decided the case I v Finland. Ms "I" was a nurse in Helsinki, and HIV positive; the systems at her hospital let her managers find out about her status, and they hounded her out of her job. The court awarded her compensation, finding that we have a right to restrict our personal health information to the clinicians involved directly in our care. Other staff must be unable to access records, not just "not allowed." In 2009, colleagues and I wrote a report for the Joseph Rowntree Reform Trust, examining the impact of this and other cases on UK central government systems and concluded that the summary care record had serious legal problems. With the additional data being added, it is now clearly unlawful.
There is always a great worry about "function creep" in large-scale database systems - for example, it may well be that Walport's view of the SCR as a research tool is an example - but the real issues for me are in data integrity and security.  Both relate to individual privacy, and the letter I received explaining I was in "by default", and giving a very one-sided and over-optimistic opinion of the benefits of SCR raised my ire.  That, and the hoops one has to jump through to avoid being included.  Recall that once your data are in, they are there for good.As I write this, Neil Bhatia (who maintains a website providing an opposing view of the SCR) has written a "rapid response" comment.

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  152 Hits

More data loss in the NHS

More (albeit relatively small scale) data losses by the NHS (NHS still rubbish at caring for data • The Register), but once again the totally toothless Information Commissioner's Office response appears to be "Don't do it again".So, does anyone really think the Summary Care Record is a good idea?  I mean other that the datacrats in the NHS...

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  135 Hits