Bluespier Orthopaedic Patient Manager is a leading clinical information system, regarded by many as setting the standard in both private and hospital environments. A new version of the system has recently been released that has an XP look and feel and includes new functionality such as a Trauma Board, customisable quick access menus to assessments and documents, increased flexibility to customise operation note documents, invoicing features for private customers, added security functions, improvements to clinical content, amongst many other improvements. These new features and functions are in addition to existing functionality of capturing all clinical data through the patient pathway, generating associated correspondence and documentation, automatic coding and easy reporting for audit and research. The system can be run over the Internet for private users whilst in hospitals it runs on internal networks.