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Summary Care Records with Additional Information – user research report

Potential disadvantages of keeping Additional Information

Summary

Some responses mentioned potential disadvantages or negative aspects of making Additional Information available by default permanently.

Longer records

Large amounts of additional information can make a record very long. This can make life difficult for a user trying to find information quickly. The SCR becomes less of a summary for quick decisions and more of a detailed record.

Timeliness and accuracy of data

This can be an issue in additional information. For example, diagnoses do not appear until a patient has been discharged from hospital and the GP has been notified of their treatment.

Potential for bias

Access to additional information may introduce the potential for harm to arise from a clinician relying on the information in the Summary Care Record alone to make clinical decisions.

Only GPs can write to the SCR

From its inception, the Summary Care Record has taken the information included from the patient’s GP record and this is by design.

However, users from various backgrounds have told us that it would be more beneficial if they could write to the SCR. They felt they should be able to add details of attendances, newly prescribed drugs, and discovered allergies. Some settings provide discharge summaries to GPs, so the SCR is updated, but others do not, for example, paramedic attendance where there is non-conveyance, the patient is not taken to hospital.

Last edited: 20 November 2020 3:54 pm