The Summary Care Record (SCR) provides healthcare professionals with access to key clinical information about patients. The SCR contains information such as medications, allergies and reactions. With patient consent, additional information from a patient's general practitioner record can be included. This helps coordinate care for patients, including those with disabilities or special needs. The document discusses expanding access to the SCR to allow more care professionals to use it and better support urgent and emergency care situations.

1. The NHS Summary Care Record
Supporting person centred coordinated care

2. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
• SCRs are an electronic
record of key
information from the
patient’s GP practice
• As a minimum contain
medication, allergies
and adverse reactions
Current Status

3. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
SCR Benefits

4. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
• GP practices now have
capability to enrich SCRs
with a set of additional
information - with patient
consent
• Includes individual
coded items and
associated free text as
recorded in the GP record
SCRs with additional information
Supporting person centred co-ordinated care
SCRs with additional information
Supporting person centred co-ordinated care

5. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
The Accessible Information Standard
• SCR supports commissioner and GP practices to meet the
legal duty of the Equality Act 2010; to make “reasonable
adjustments” to support disabled people. This legal duty is
“anticipatory.”
• The SCR additional information dataset includes all the
clinical codes defined in the SCCI1605 standard, as well as
other codes related to sensory, physical and learning disability,
carers, advance care planning and other preferences
• SCR uses existing information in the GP record - once patient
consent for additional information is recorded in the GP
system, then relevant codes are automatically included in SCR.
• For further information, see the Inclusion Set Overview:
SCR Inclusion Dataset Overview

6. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
The SCR:
• Provides a nationwide data sharing solution – a foundation
for access to a key set of common information that all care
settings need to access
• Complements local record sharing - complex care co-
ordination will still occur at a local level using local systems
• Provides a cost effective solution for settings that have lower
digital maturity and where local solutions are not in place
• Provides a cost effective opportunity for health communities
to accelerate local record sharing by enriching SCRs with
additional information
SCR and Local Information Sharing

7. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
Lawrence is a middle aged man with a moderate learning disability.
He has difficulty hearing, his speech can be difficult to understand
and he gets anxious with people that he does not know. His sister is
his next of kin and is very involved in his care.
SCRs with additional information
Supporting those with learning disabilities

8. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
Dr Mark Spring, GP Sandford Surgery, Dorset and
Clinical Lead for Urgent Care Services
SCRs with additional information
Supporting urgent and emergency care

9. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
Requirement to expand access and develop the
SCR
• National Information Board (NIB) - Personalised Health and
Care 2020 references the need to open up access more
widely and further develop the SCR
• Demand from a range of care professionals
The SCR Expert Advisory Committee
• Ensures proposals to expand the scope of the SCR are
subjected to consultation and analysis
• Membership includes representatives of patients and the
public, clinical professional bodies and Royal Colleges
• Seeks input from wider audiences and advice from relevant
expert stakeholders
Where next for the SCR?

10. www.hscic.gov.uk/scr scr.comms@hscic.gov.uk @NHSSCR
• Delivery into key areas such as community
pharmacy, scheduled care in hospitals, and
dedicated medical room in police custody
suites
• Discovery work in new environments such as
care homes and social care
Extend the
benefits to more
care
professionals
Where next for the SCR? Cont’d…