A patient with incurable bowel cancer shares concerns about the NHS's proposed 'single patient record' system, which aims to allow healthcare providers to access comprehensive patient histories digitally. Despite the potential benefits, the patient expresses doubt about the NHS's ability to implement this system effectively. Previous experiences reveal a troubling pattern of miscommunication, where medical notes inaccurately reflect the patient's statements, leading to confusion and inadequate care. The author argues that before the new system can succeed, NHS staff must receive training to improve their listening skills and ensure accurate documentation. The patient believes that direct communication is essential for proper diagnosis and treatment, especially after long waiting periods for specialist consultations. Ultimately, while the initiative shows promise, the patient gives the government a score of three out of five, highlighting that without addressing the fundamental issues of communication and understanding within the NHS, the reforms are likely to fail.