Table 1

Baseline data of record-keeping standards (in %)

Standard	Description	May 2017	December 2017	May 2018	April 2019	July 2019
2	No. of pages with first and last name	49	57	56	58	100
	No. of pages with hospital identification/NHS number	42	42	46	51	100
3	No. of pages with standardised structure/layout	93	100	100	100	100
4	No. admissions filed in chronological order	90	100	90	90	100
5	Admission/clerking proforma completed	60	70	70	90	100
	Discharge letter present	90	100	100	100	100
	Proforma correctly completed	80	90	100	100	100
6	Date recorded	87	96	92	100	100
	Time recorded	88	87	82	84	100
	Printed name/signature	49	62	64	87	100
	Printed grade	51	34	50	76	N/A
8	Most senior person recorded	75	53	47	37	100