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  I have worked for the last 30 years in firms that vary in size from a couple of hundred people to 100's of thousands of people, all have operated some form of risk register in order to understand the risks facing the business, the potential impacts, the proximity and most importantly to formulate an appropriate owner and response to deal with it. This is simply sensible practice.
  
  In the "good old days" of the NHS these registers would have been managed at local level and not shared with other professionals in the health service, leading to duplicated effort, multiple cost inefficient approaches to the management of individual risks etc. Now it is feasible for the NHS to collate this into one central register it all suddenly becomes sinister and strange - please get some perspective

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