HSCIC: Summary Care Record
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HSCIC: Summary Care Record

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View this presentation to discover what Summary Care Record (SCR) is, who it’s for and how it benefits patients. ...

View this presentation to discover what Summary Care Record (SCR) is, who it’s for and how it benefits patients.

Learn more about the national roll-out, and how we are doing so far.

View examples of how healthcare staff in different settings are using the SCR to support patient care.

Learn more about the future of the SCR.

This presentation was delivered at EHI Live 2013.

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    HSCIC: Summary Care Record HSCIC: Summary Care Record Presentation Transcript

    • The Summary Care Record Andy Carr Summary Care Record Clinical Advisor andy.carr@hscic.gov.uk @NHSSCR
    • Summary Care Record This presentation will cover: • What the Summary Care Record (SCR) is, who it’s for and how it benefits patients • National roll-out: how we’re doing so far • Examples of how healthcare staff in different settings are using the SCR to support patient care • The future of the SCR
    • What is the SCR? • The Summary Care Record is a secure electronic record that contains key health information about a patient’s medication, allergies and any previous bad reactions to medicines. • Data comes from a patient’s electronic GP record. • Additional information can be included at the request of, or with the explicit consent of, the patient. For example, care plans. • Staff must ask a patient’s permission to view before their SCR is accessed.
    • SCR benefits – high level • Improved patient safety reducing the risk of prescribing errors and adverse reactions to prescribed medication. • Increased efficiency and effectiveness reducing time, effort and resource required to share information across different NHS organisations. • Increased quality of patient care enabling the most appropriate care to be delivered in the most appropriate setting. • Improved support for vulnerable adults and patients with long-term conditions
    • Where is the SCR used?
    • National roll-out of the SCR • 31 million people in England now have a SCR – that’s over 50% of the population. • 4,355 GP practices have created records. • 45.9 million patients have been contacted by mail across all 211 CCGs. • The opt out rate is just 1.39%.
    • National SCR roll-out The picture at November 2013 Key PIP commenced Record creation commenced Over 60% records created Over 80% records created
    • Sites currently viewing SCRs Approximately 40,000 SCRs are being viewed every month across the following care settings: • 134 GP out-of-hours care settings • 102 hospital pharmacies • 19 hospital emergency departments • 29 hospital acute admissions wards • 49 community and intermediate care teams • 45 walk-in centres/minor injuries units • 3 GP practices for temporary residents
    • SCR use in out of hours Analysis of a year’s worth of data from one OOH provider (70,000+ encounters) • Patients are less likely to require a face to face appointment in OOH when the SCR is viewed during a phone consultation. • Patients are less likely to be asked to contact their GP surgery for a follow up appointment when the SCR is viewed.
    • SCR use by hospital pharmacists • Sheffield: SCR use has reduced the average time for medicines reconciliation from 2 hrs 9 mins to just 19 mins. • Leeds: Using SCRs reduced the time taken to complete medicines reconciliation by 55%. It currently takes only 19 minutes. The team is now meeting the 24 hr target 87% of the time (it was previously 57%). “Pharmacists love the SCR because it makes their life a lot easier. This translates into a better service for patients, more accurate patient notes and as a result improved patient safety.” Una Laverty, Medicines Risk Manager
    • SCR use by hospital pharmacists “The SCR provides us with the much needed missing piece in the medicines reconciliation jigsaw puzzle for optimising patient care.” David Jones, Senior Clinical Pharmacist Northumbria Healthcare NHS Foundation Trust The Summary Care Record: How has it impacted on care across England www.rpharms.com/pharmacy-practice/the-summary-care-record--how-has-it-impacted-on-care-across-england.asp
    • Enabling SCR viewing is easy • NHS Smartcards for authorised staff, and readers on computers • Secure N3 connection • Some training (mainly on information governance) • The trust needs to identify a privacy officer who can audit emergency access and any self-claimed access to ensure that there is no malicious or inappropriate viewing. • Patients need to be asked for permission to view their SCR. If they are unable to give permission (because not mentally competent, confused or unconscious) staff should use emergency access in the patient’s best interest. • That’s it!
    • The future of the SCR “We have commissioned the HSCIC to add immunisations, significant past problems and procedures, end of life care information and other patient preferences to the SCR. The SCR will provide NHS trusts with a key building block towards an IDCR and we strongly recommend its uptake and adoption.” NHS England, July 2013
    • Useful links SCR website: www.hscic.gov.uk/scr www.nhscarerecords.nhs.uk SCR case studies: http://systems.hscic.gov.uk/scr/staff/aboutscr/comms/case SCR deployment map: http://systems.hscic.gov.uk/scr/staff/impguidpm/deploy Subscribe to our newsletter: http://systems.hscic.gov.uk/scr/staff/bulletin/maillist Follow us on Twitter: www.twitter.com/NHSSCR
    • The Summary Care Record Andy Carr Summary Care Record Clinical Advisor andy.carr@hscic.gov.uk @NHSSCR