Winchester Hospital letters are now being typed in India!. The Royal Hampshire County Hospital has started a one-month trial in the ear, nose & throat department. Letters and doctors notes are dictated digitally, sent to India to be typed and returned electronically. The NHS trust that runs the Hospital recently announced it was cutting 320 jobs to reduce a deficit. One Hospital secretary said there was a potential for major mistakes. With medical terminology, just getting one vowel wrong can make all the difference. For example, hypothyroid & hyperthyroid!.