Summary Care Records


The NHS Summary Care Record (SCR) is an electronic summary of key clinical information ( inc medicines, allergies and adverse reactions) about a patient record sourced from a GP record.
SCR access is now part of the requirements to achieve the quality payment criteria. LLR SCR live rates are at 95% excluding multiples as of February  2016. .

PSNC link to SCR information is available at; http://psnc.org.uk/contract-it/pharmacy-it/electronic-health-records/

To gain access to Summary Care Records rollout from 1st April 2017 : 

With effect from 1st April 2017, a new process has been established for community pharmacy contractors to go live with Summary Care Records (SCR).

The process to apply for SCR access is outlined on our SCR registration checklist 2017/18, and also on NHS Digital’s website here: tinyurl.com/getstartedwithSCR. There will be no requirement to attend face-to-face training.

SCR provides pharmacists and pharmacy technicians with access to patient information, such as medication, allergies and adverse reactions, reducing the need to contact GP practices.

Over 93% of community pharmacies now have access to SCR and over 24,000 pharmacy professionals have completed the SCR e-learning.

From April 2017, demonstrating increasing usage of SCR over time became a measure for quality criteria as part of the Quality Payments Scheme.

Additionally, online training is now available for SCR Governance Persons (SGPs) (previously called Privacy Officers).

Resources 

SOP sample

scr-newsletter-faqs

For a pharmacist or pharmacy technician – the user

1. Check your smartcard

Make sure your smartcard is working. (This is the same smartcard that’s used for EPS access.) Put the smartcard in the reader and follow the instructions to check it isn’t locked and that you know the PIN. Contact your local Registration Authority (RA) for help with problems, or if you don’t have a smartcard.

2. Complete the online CPPE training

Complete the CPPE e-learning SCR module and assessment to get a certificate. You must enable data sharing on the CPPE website so that we can confirm that the module has been successfully completed.

3. Request the Summary Care Record role for your smartcard

Complete the form to request the SCR role addition to your smartcard. We will then approve the addition of the relevant roles to your smartcard with your local Registration Authority (RA). The RA will process this in line with the local organisation’s service level agreement.

There is iconspecific guidance on smartcard SCR access for locums and organisations that use them [261Kb]For an SCR governance person (SGP), (formerly known as a privacy officer)

1. Check your smartcard

Make sure your smartcard is working. Put the smartcard in the reader and follow the instructions to check it isn’t locked and that you know the PIN. Contact your local Registration Authority (RA) for help with problems, or if you don’t have a smartcard.

2. Complete the online SGP training

SGP training is available on our website.

3. Request the SGP role for your smartcard

Complete the form to request the SGP role addition for your smartcard. We will then approve the addition of the relevant roles to the smartcard with your local Registration Authority (RA). Your RA will process this in line with the local organisation’s service level agreement.For a new pharmacy needing to go live with SCR

1. Appoint an SCR Governance Person (SGP), (formerly known as a privacy officer)

Every organisation needs to appoint at least one member of staff to be the SGP. We recommend a minimum of two people are appointed.

2. Implement Standard Operating Procedures (SOPs) covering SCR use and SGP monitoring tasks

All other SOPs impacted by SCR e.g. Flu Vaccination, MURs should be updated at the next opportunity. Download a  iconsample SOP for SCR use document template [155.5Kb]

3. Complete the online Acceptable Use Agreement (AUA)

An acceptable use agreement is needed for each pharmacy site.

4. Check SCR works with your system

(a) Test access to SCR

Once the SCR Role Based Access Codes (RBACs) have been added to your users’ smartcards, test access to the spine portal (which provides access to SCR) at each computer. Add the url to the desktop or favourites to make access easier. Then use a test NHS patient number e.g. 9990252955 to check everything is working correctly. You can find more test patient numbers in the iconSCR quick technical guide [37Kb]

(b) Check technical requirements

To use SCR, your system needs to be compliant with the NHS standard system settings, specified in the iconWarranted Environment Specification [278.32Kb] This is probably already the case. You or your system supplier can check this. System suppliers should be familiar with the WES and can help to ensure that NHS and other key software can continue to run alongside each other.

(c) Troubleshooting technical requirements

If you are using older versions of software, the system might not be fully compliant. If your system supplier, or a software provider, recommends using settings outside of the WES, you may want to discuss with them whether adjustments can be made so that all your hardware, systems, and software can comply with the WES. Technical issues should be forwarded to your pharmacy system supplier helpdesk.

5. SGP – start routine monitoring of SCR access

Read more on the role of the SGP.

It is used by authorised healthcare professionals, with the patient’s consent, to support their care and treatment. Where a patient and their doctor wish to add additional information to the patient’s Summary Care Record, this may be added with the explicit consent of the patient.

More than 96% of the population have an SCR and it is already being successfully used in many settings across the NHS, such as A&E departments, hospital pharmacies, NHS 111 and GP out of hours services and walk in centres.
Arden and GEM CSU are currently providing training to community pharmacists and teams. It is vital that the profession engage with this to ensure we can support patient care and improve outcomes.

PSNC link to SCR information is available at; http://psnc.org.uk/contract-it/pharmacy-it/electronic-health-records/

Benefits and uses of SCR in community pharmacy – NHS Digital

Benefits and uses of SCR in community pharmacy

Using SCR in community pharmacy means:

  • fewer referrals to other NHS care settings
  • a reduced need for phone calls to GP practices
  • fewer prescribing errors
  • reduced patient waiting times and improved service for patients

Because of these benefits, the use of SCR is a factor in funding for community pharmacies.

When to use SCR

For community pharmacy, there are three main scenarios where you can use SCR so that you don’t have to phone the GP practice before serving the patient, or refer them to an out-of-hours service if the practice is closed.

Emergency supply

If a patient visits the pharmacy asking for an emergency supply of their medication, you can check their SCR to confirm what to prescribe, the dosage and frequency.

Download a storyboard showing icon Using SCR in community pharmacy for emergency supply [389.21Kb]

Adverse reactions

If a patient can’t remember their allergies, you can check their SCR to make sure the medication you are giving them is safe for them to take.

Download a storyboard showing icon Using SCR in community pharmacy to check adverse reactions [568.06Kb]

Self-care – providing vaccinations and other services

If a patient asks for a free flu vaccination or another pharmacy-provided service, you can check their SCR to make sure they are eligible, and provide the service immediately. (If you provide a vaccination or other treatment, you will still need to inform the practice so that they can update the patient’s record.)

Download a storyboard showing icon Using SCR in community pharmacy for patient self-care [1.37Mb]

One page factsheet from the RPS providing guidance on when to use SCR

SCR-EHR-when-to-use-RPS

 

Additional resources

Download our icontechnical troubleshooting guide [1.36Mb] for technical advice on setting up and accessing SCR.

Download a iconfinal checklist for SCR [412.14Kb] to run through the technical requirements.

Download a printable iconstaff briefing poster [276.25Kb]

Download a printable iconpatient leaflet [197.09Kb]

SOP sample

scr-newsletter-faqs