The future of medicine is shifting to a patient-centric model. One aspect of this model involves an increasing utility to triangulate health-related data. These data sources will be of variable quality and new ways of kitemarking and weighting the data is required. The exemplar of I-Choose may provide a framework for health-related searches with the end user providing the weighting of the criteria used in the search algorithms. NHS Grampian’s No Delays concept uses video on demand to provide clinician-made personalised patient postcards to the patient. This chapter explores trust and provenance issues arising from health care delivered via the Internet and how the end user engages with the technology rather than the wishful hope of “building it and they will use it”.

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