Sources and notesCog & Cuppa →

Thirty Years Inside the Machine - The Consultation Engine

Why usability, workflow and cognitive load may matter more than feature lists

15 May 2026 · Read the essay →

The outside claims this piece leans on, and where they come from. Each note says what the source looked at, so you can judge how far it stretches.

  1. Modern GP systems connect to national infrastructure and exchange data at national scale

    NHS England, GP Connect guidance (long read); NHS England Digital, GP2GP service page (digital.nhs.uk/services/gp2gp) (2026)

    NHS England service guidance describing GP Connect, which shares GP practice record data between IT systems in real time for direct care in England.

  2. QOF, recalls and national reporting were later layers added to GP systems after the early systems

    Quality and Outcomes Framework, introduced April 2004 under the new GMS contract (NHS England Digital QOF publications)

    QOF, the GP pay-for-performance scheme in England, started in April 2004 as part of the new GMS contract.