Sarah Perkins Associate Director of Operations & Performance, Project lead for the introduction of Electronic Clinical Document Management. The project involved the re- provision of the paper based medical records into a scanned( digital ) format for County Durham & Darlington NHS Foundation Trust. The Trust provides health care to a population 550,000 across County Durham and Darlington on multiple sites and employs 8000 staff. The Trust had approx. 900,000 paper files containing on average 230 pages of clinical information, the files were used in all medical settings, i.e. out-patient appointments, planned surgery and emergency admissions. The project involved reorganising the current files, deciding how they would be scanned, installing software to view the records, training staff to use the software and agreeing the new processes in a paper light environment