This article discusses the various legislations and regulations governing record keeping in healthcare, including the Data Protection Act 2018, Health and Social Care Act 2008, Freedom of Information Act 2000, and General Data Protection Regulation. It also explores the internal and external requirements for storing and reporting patient data, such as password-protected software and online data storage tools. Additionally, it highlights the benefits of involving service users in record keeping and reporting, including improved health and wellbeing, care and quality, and financial sustainability.