This area of work should be led by your IT lead. It outlines the different steps that need to be completed in order for staff to be able to securely access CP-IS information.
Step 8 – Confirm the technical route to implementation
There are a number of different ways healthcare organisations can implement CP-IS technically.
Your IT systems supplier may have developed CP-IS functionality for your current system. This means you would be able to implement CP-IS by simply upgrading your current system. Please visit our website to see a list of IT systems that provide CP-IS functionality.
If this option is not available, we recommend that healthcare organisations implement CP-IS using the Summary Care Record application.
Visit our website to learn the implementation process for healthcare organisations.
What is the Summary Care Record application?
The Summary Care Record application (SCRa) is a free web-based application. SCRa enables healthcare organisations to securely view patient information held on the NHS Spine, including:
- demographics (Patient Demographic Service or PDS)
- Summary Care Records (SCRs)
- Child Care Alerts (Child Protection – Information Sharing)
- female genital mutilation (FGM) alerts
SCRa is free of charge. It's a secure system that is quick and easy to use. The vast majority of healthcare organisations that have implemented CP-IS so far have done it using SCRa.
SCRa is accessed directly through a web address or the NHS Spine Portal. Each user needs an NHS SmartCard with the correct Role Based Access Control codes added in order to access the right information.
See further information about Summary Care Records.
Step 9 – Assess current use
Establish which IT systems are currently used in each of the unscheduled care settings you have identified as part of the CP-IS project.
If the setting already uses SCRa, move to step 11.
Step 10 – Gain a secure Health and Social Care Network (HSCN) connection
Please visit the HSCN web pages for further information about how to do this.
Step 11 – Obtain NHS Smartcards and Smartcard readers
Please contact the person responsible for issuing and configuring NHS Smartcards for your organisation (the registration authority manager, sponsor or equivalent person/local NHS organisation) to source NHS Smartcards and/or NHS Smartcard readers.
All staff requiring CP-IS access who do not already have an NHS Smartcard will need to follow a local administrative process to apply for one. Your CP-IS project lead should ideally coordinate this for everyone who will need one.
Getting NHS Smartcards and smartcard readers can take time so please start this step as soon as possible so it doesn’t lead to delays later.
Please note that further NHS Smartcard readers can be ordered direct from NHS Digital.
Step 12 – Add Role Based Access Control codes to NHS Smartcards
When the staff who need access to the Child Care Alert have been identified (step 17 in the Business Change section) you will need to ensure that the correct Role Based Access Control (RBAC) codes are added to their smartcards.
Identify who is responsible for issuing and configuring NHS Smartcards for your organisation (for example, the registration authority manager, sponsor or equivalent) and have the following codes added to cards for the staff concerned.
If staff are already accessing the SCR they will only need one extra code adding to their smartcard (B0107). If they are not already accessing SCR, two codes need to be added (B0107 and B0264).
||Access Clinical Spine Application – Perform Patient Trace
||View Child Protection Plan
Step 13 – Ensure systems and web browsers are compatible
Computer systems which access NHS Digital services through the Spine have to meet certain technical standards. The Warranted Environment Specification (WES) defines the client environments that we support. It covers:
- operating systems
- Java Virtual Machines (JVMs)
- smartcard printer drivers
Staff responsible for health and care technical infrastructure must check that the environments they are using meet these specifications and are fully supported. Updates must be carried out, when recommended, to make sure all services keep running properly without interruption.
Please visit the WES page of the NHS Digital website and check that the web browsers and version of Java you have are compatible.
Step 14 – Ensure the correct identity agent is installed
Each device that is used to access SCRa will need the NHS Digital Identity Agent installed. Find more information and download the NHS Digital Identity Agent.
Step 15 – Update your technical business continuity plans
Ensure that CP-IS is added into your organisation’s business continuity and disaster recovery plans.
Ensure plans are clear about the process that must be followed for patients who presented for care while systems were down when they come back online.
Ensure that someone is accountable for routinely checking that CP-IS is working, particularly when you make changes to your technical infrastructure.