Summary Care Record new interest form

Summary Care Records (SCR) are an electronic record of important patient information, created from GP medical records. Use this form to express your interest to view SCR.

If your organisation is interested in accessing SCR, please complete the form below. A member of the team will review it and contact you directly.

Before completing this form, please read the current scope of viewing SCR and ways to access SCR.

If your organisation already utilises the Summary Care Record Application (SCRa) and would like to move to the new replacement offering of the National Care Records Service (NCRS), please indicate this below via the relevant drop down options and include any initial questions in the supporting information section.

Privacy statement

The contact details you submit on this form will not be shared with any other 3rd party. Your contact details will be used solely for the purpose of enabling the SCR team to get in touch and discuss your organisation's interest in using Summary Care Records.

This form is for organisations and not individuals. If you're an individual with a question about SCR, contact [email protected]

About you

Your name * First name and last name

Email address *

Job title *

Telephone number * No spaces

About your organisation

Organisation name *

Organisation Data Service (ODS) code

Organisation type * Acute trust, GP practice or private provider, for example.

Organisation web page address

Care setting for SCR use * Mental health, GP out-of-hours or care home, for example

Supporting information

What will you use SCR for and how will it improve delivery of care? *

Your preferred method of connecting to SCR *

If you are a private sector provider, are you a member of any of the following?

Please specify Please specify the organisation you are a member of

Does your organisation have access to Personal Demographics Service (PDS)? *

Yes
No
Don't know

Does your organisation currently use Smartcards? *

Does your organisation have an HSCN connection? *

Yes
No
Don't know

Please add any other supporting information