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Summary Care Records (SCR)

Summary Care Record

The NHS has changed the way in which your medical information is accessed. Summary Care Records (SCR) are an electronic record of important patient information, created from GP medical records. They can be seen and used by authorised staff involved in a patient’s direct care, both within the Practice as well as in other areas of the healthcare system

Summary Care Records contain key information about the medicines you are taking, allergies you suffer from and bad reactions to medicines you have had in that past. You can now choose to include more information in your SCR, such as significant medical history (past and present), information about management of long term conditions, immunisations and patient preferences such as end of life care information, particular care needs and communication preferences.

If you have an accident or fall ill, the people caring for you in places like A&E departments and GP out of hours services will be better equipped to treat you if they have this information. Your Summary Care Record will be available to authorised healthcare staff whenever or wherever you need treatment in England and they will ask your permission before they look at it.

If you do not want your data shared and would like to opted out please print off the following form and hand it into reception.

My Care Record Opt out form

Summary Care Record – Additional Information

The Summary Care Record with Additional Information can be used by other NHS organisations, such as A&E and Out of Hours. These organisations can only access this information with your permission and with the appropriate rights. There may be occasional circumstances where a clinician is unable to consult you. For example, if you are unconscious, healthcare staff may look at your record without asking you. An audit trail is kept to identify who has viewed your record, where and when.

SCR Consent option for SCR AI

SCR AI Patient Leaflet

Remember, you can change your mind about your SCR at any time. Talk to our Practice if you want to discuss your option to add more information or decide you no longer want an SCR. If you do nothing we will assume you are happy for us to create a SCR for you.

Vulnerable patients and carers

Having an SCR that includes extra information can be of particular benefit to patients with detailed and complex health problems. If you are a carer for someone and believe that this may benefit them, you could discuss it with them and their GP Practice.

Who can see my SCR?

Only authorised, professional healthcare staff in England who are involved in your direct care can have access to your SCR. Your SCR will not be used for any other purposes.

These staff:

  • Need to have a Smartcard with a chip and passcode
  • Will only see the information they need to do their job
  • Will have their details recorded every time they look at your record

Healthcare professionals will ask for your permission if they need to look at your SCR. If they cannot ask you because you are unconscious or otherwise unable to communicate, they may decide to look at your record because doing so is in your best interest. This access is recorded and checked to ensure that it is appropriate.

SCRs for children

If you are the parent or guardian of a child under 16, and feel they are able to understand this information you should show it to them. You can then support them to come to a decision about having an SCR and whether to include additional information. You may request to opt them out of SAR; any opt-out requests on behalf of children will be carefully considered.

Confidentiality

For information on how the NHS will collect, store and allow access to your electronic records visit NHS UK.

Care.Data 

Under the Health and Social Care Act 2012, NHS England has the power to direct the HSCIC (Health and Social Care Information Centre) to collect and share patient confidential data (PCD) from all providers of NHS care, including general practices, without seeking patient consent.  This data is not anonymized. One of the first initiatives, using these new powers is the launch of the Care.data service. This service has been commissioned by NHS England and will be delivered by the HSCIC. The HSCIC is England’s central authoritative source of health and social care information.

Care.data will make increased use of information from medical records with the intention of improving healthcare locally and nationally for example by ensuring that timely and accurate data are made available to NHS commissioners and providers so that they can better design integrated services for patients. It will also help in finding more effective ways of preventing, treating and managing illnesses. The British Medical Association supports the use of patient data for secondary purposes, including commissioning, and recognises the importance of greater transparency and more intelligent use of data to improve the quality of care delivered to patients. NHS England has made a commitment that personal confidential data will not be shared unless there is a legal basis or an overriding public interest in disclosure.

If you do not wish your data to be collected by Care Data please ask reception for an ‘opt out’ form. For more details about Care data visit: www.nhs.uk/caredata

  • The Hertfordshire Care Record

The practice is committed to the delivery of safe, effective and integrated care to all patients.

The Hertfordshire Care Record is a tool that allows a patient’s GP Medical Record to be viewed, with patient permission, by clinicians outside GP practices. This will enable clinicians working within the Out of Hours Service ie Herts Urgent care to view a patient record and allow them to deliver effective clinical care to the patient. We see this as the first step to enabling the delivery of truly integrated care for our patients.

The technology for this facility is a national solution called the Medical Interoperability Gateway (MIG). It is provided through a company called Healthcare Gateway. All GP systems (EMIS, SystmOne and Vision) are part of Healthcare Gateway. The technology does NOT ‘extract’ or store any data from the GP clinical systems. It merely allows – with the practice and patient permissions, a ‘view’ of the GP record.

The view of the records is ‘read only’ meaning that records cannot be altered by anyone outside the practice and any sensitive data is not included in the view.

There are many clinical benefits to clinicians treating patients having access to the medical records such as:

  • Information is available to providers at point of care
  • No need to repeat medical history
  • Latest medication information available to the treating clinician

Having up to date, accurate information enables clinicians to treat patients as safely and effectively as possible. Prescribing medications for patients where the clinician has no information presents a great risk due to the possibility of drug allergies or interactions with other medications being taken.

Patients calling Herts Urgent Care (HUC) on 111 when the surgery is closed, may now be asked if the clinician has permission to view their medical record. Giving of this permission will ultimately always be your choice and you will be asked every time you call HUC for your permission regardless of whether permission has been granted or refused previously.

If you do not wish to be part of the Hertfordshire Care record please let us know so that we can code your records accordingly