Summary Care Record Programme NHS CFH SCR Programme South Birmingham SCR Team

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Summary Care Record ProgrammeNHS CFH SCR
ProgrammeSouth Birmingham SCR Team
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What is SCR?

• Content of the SCR
• The SCR is an electronic summary of key health
  information. It will hold limited essential
  information derived initially from the patients
  GP record, this will include medication, adverse
  reactions and allergies and a patients
  significant medical history.
• This will then be added to over time with content
  such as hospital discharge notes.

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What are patients choices?
Creating the RecordDo you want a Summary Care
Record?
YES
NO
Using the Record Can I look at your Summary
Care Record?
In an emergency when you are too sick to be
asked, or under certain medical/legal
circumstances (such as court order) the
clinicians involved in your care may access the
record without asking. Any such actions will be
recorded for investigation. See principle six on
the next slide.
A patient may choose not to be asked again, at
which point their consent can be set to never
ask, See principle five on the next slide.
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NHS Operating Framework 09/10
The introduction of the Summary Care Record (SCR)
will improve patient care, in particular for
those with a long-term condition or requiring
urgent care.
Individual NHS organisations working
collaboratively within local health communities
should plan for the roll-out of the Summary Care
Record (SCR) across LHCs with a focus on urgent
care settings. national roll-out will have
commenced during 2008/09, once compliant software
is available. SHAs will agree the timeline for
implementing the SCR with PCTs full roll-out
of the SCR will be demonstrated in LHC plans.
Roll-out will be based on a two year window for
the full deployment of SCR
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SCR Early Adopter Update 01/06/09
GP Clinic RBH
District Nurse
Bolton Diabetes
91,258 SCRs created
Hosp Pharmacy
WIC
ED
OOH
Bolton PCT
100,183 SCRs created
Mental Health
Ambulance Trust
DAU
Hosp Pharmacy
WIC
ED
OOH
Bury PCT
MAU
Tier 2 Diabetes
28,219 SCRs created
South Birmingham PCT
Statistic Value
SCRs Created 288,953
Patients Contacted 850,386
Opt Out 0.73
Practices Live 46
Sites Accessing the SCR 10
Number of Accesses 4,843
29,120 SCRs created
Bradford PCT
40,173 SCRs created
Dorset PCT
1st Creations scheduled for Late May
South West Essex PCT
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Healthspace

• HealthSpace is a secure online personal health
  organiser
• Anyone 16 and living in England can open a Basic
  HealthSpace account
• A Basic HealthSpace account allows users to store
  their personal health information online (weight,
  blood pressure, blood sugar, drinking, smoking,
  Choose Book appointments etc)
• Advanced HealthSpace accounts will be available
  for all patients registered with a GP in
  participating PCT
• Advanced HealthSpace accounts allow access to the
  patients own Summary Care Record

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Why?

• Absolutely crucial to successful implementation
• Buyin
• Cooperation
• Ideas/input
• Local knowledge and understanding
• Ownership
• Benefits realisation

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How locally?

• A Clinical lead
• Provide a link to clinicians
• Presence on the Project Board
• Provide clinical advice and input across the
  project including comms, documents, policy etc
• Clinical champion give other clinicians
  confidence and reassurance, provide clinical
  credibility, have local knowledge, understand
  local demands, pressures and culture
• Provide a clinical reality check
• Need to ensure that the clinician offers advice
  across health providers and communities not
  limited to their sphere of reference.
• Local Medical Committee have a member of the
  LMC on your Project Board
• GPs their Practices
• End users Walk in Centre teams, OOH clinicians,
  hospital pharmacists, clinical directors eg OOHs,
  other areas of potential benefit eg End of Life
  clinicians, Long term conditions, complex health
  social

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How centrally?

• Clinical representation
• NHS Care Records Service Board
• National Clinical Reference Panel
  multidisciplinary, professional bodies
  represented
• Ongoing involvement by BMA, GMC, RCN etc
• NHS CfH
• CfH Clinical Advisors
• Clinical Directorate
• Clinical Induction events
• Supporting SHA/PCT level events

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SCR in south Birmingham

• Started April 2007
• Engagement with key stakeholders (GP leads, AE,
  OOH, Community nursing, local acutes and the LMC)
• GP engagement evening May 2007
• Sign up from 4 then a further 8 practices
• Local practice-by-practice engagement to get sign
  up

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What next?

• Patient engagement events
• Establish project board
• Agreed communications
• Documented benefits
• Data Quality works in practices (took 9 months)
• Engaged PCT PALS support
• First PIP (July 2007) to 4 practices
• Second PIP (August 2007) to 8 practices

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What have we learnt??

• Find a GP lead / clinical champion
• Involve the LMC give them a place on the
  project board
• Identify other key stakeholders patients, OOH
  and community. Involve them.
• Dont promise too much too soon
• Must have a dedicated communications resource