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NewsRx.com) -- Links of London results from the first comprehensive evaluation of the implementation of electronic health records in secondary care in England have found delays and frustration with the system, according to research published on bmj.com today. The authors, led by Professor Aziz Sheikh from The University of Edinburgh (and which included researchers from The London Links of London Back To School Chubby Black Pencil Charm of Economics and Political Science, The School of Pharmacy and The University of Nottingham), say experiences from the first-wave implementation site "indicate that delivering improved healthcare through nationwide electronic health records is likely to be a long, complex and iterative process." Professor Sheikh and his team assessed the implementation of electronic records in five NHS acute hospital and mental health trusts throughout Links of London Jumbo Charm. Their evaluation consisted of undertaking interviews, making observations and reviewing key documents. The evaluation reveals that hospital electronic health records are being developed and implemented far more slowly than was originally hoped. The authors believe this is because "the top-down standardised approach has needed to evolve to permit greater flexibility and local choice in electronic health records systems and their delivery." Despite the substantial delays and frustrations "there remains strong support for electronic health records, including from NHS clinicians", says the study. Electronic health records are Links of London Bookworm Charm introduced in Europe, North America, Australasia, the Middle East and elsewhere.