SCR with Additional Information

SCR with Additional Information

More than 96% of the English population already have a Summary Care Record (SCR) with the usual standard information. A small but growing percentage of patients (around 5% of patients so far) have requested their GP practice activate SCR with Additional Information so that pharmacy staff and others can access more information where needed.

Core information within SCR

The core information automatically included within SCR is:

  • all known allergies & adverse reactions recorded for that patient on the GP system; and
  • all medications within the following conditions:
  • Acute medications (6 or 12 months depending on the GP system);
  • Current repeat medications (with last issue date dependent upon GP system); and
  • Discontinued repeat medication (if the GP system adds this data, 6 months).

Additional Information within SCR

Patients may request to their GP practice that the practice adds other useful content beyond the core data set. If this data has been added to the appropriate record field by the GP practice, then the person accessing SCR will be able to view:

  • reason for medication;
  • immunisations;
  • significant diagnoses / problems;
  • significant procedures;
  • end of Life Care information and patient preferences;
  • other anticipatory care preferences, when they have been recorded by the GP; and
  • any other important information from the GP record that the patient and GP agree should be included in the SCR.

There are items which are not included unless the patient specifically asks for them to be. These are details of:

  • fertility treatment;
  • sexually transmitted infections and treatments;
  • terminations; and
  • gender reassignment.

Consent framework

Patients may request to their GP practice that the practice enables SCR with Additional Information for them.

Additional information can only be included with the patient’s consent, unless they don’t have capacity to consent. The GP practice activate SCR with Additional Information on a patient-by-patient basis. Additional information may, on occasion,  also be added to the SCR of a patient who lacks capacity to consent where the GP makes a relevant determination.

Local campaigns

Within some areas, local stakeholders may support campaigns for patients and health and care workers to be able to make greater use of SCR with Additional Information.

Resources for patients about SCR with AI

NHS Digital resources include:

Survey findings

NHS Digital published survey results indicating that 71% of clinician respondents that accessed SCR Additional Information to support patient care, said that viewing additional information helped make more effective use of time with patients due to:

  • less need for time finding information;
  • reduced number of calls to GP Practices or other health and care organisations;
  • the information supporting decision-making; and
  • avoidance of referral to another health care provider.

Patients sharing additional information explained within their survey results that one of biggest reasons they decided to enable sharing of additional information was so that health and care workers would be able to understand “why I take a particular medicine”.

Pharmacy usage of Summary Care Record

Pharmacy teams are encouraged to make use of SCR and SCR with Additional Information (where available) to enhance the care they can provide for their patients e.g. when delivering a service or providing emergency supply. Increasingly patients will also be able to access health information with the NHS App if GP practices have enabled NHS App features.

A screenshot example of SCR with Additional Information can be seen below:

Related resources

NHS Digital resources:

 

 

Return to IT and SCR sub-section: Using SCR

Return to the IT section: SCR home

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