In the new GP contract, GPs are paid a figure each quarter for hitting targets in smears and vaccinations. The difference between achieving 89 per cent and 91 per cent is considerable and GPs need to know who the defaulters are for whatever reason.
You state 'computers that do not communicate are useless', yet that communication you hope for poses great threats to the confidentiality of the doctor-patient relationship, and GPs who break confidentiality find themselves in breach of their terms of service.
GPs as independent contractors within the NHS are wise to choose
a system that suits their needs
and not the expectations of remote managers.