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Sharing and accessing patient health data is changing affording the NHS two unique opportunities. Firstly, to fully integrate individual patient care across the many boundaries that hitherto have served as barriers to data sharing within the healthcare system. Secondly, to empower and enable patients to be truly central to their own healthcare management. This report is intended to increase awareness and understanding of patient access to healthcare records from a digital perspective, the barriers and facilitators to improved access, what is achievable now and what may be achievable in the future, and critically what patients want from access to their healthcare records.