View the SCR
An SCR should only be viewed if the user is involved in the patient's care. This is called a 'legitimate relationship'.
The patient should be asked for their permission before their SCR is viewed. This is called 'permission to view'. Permission to View is designed to ensure that a patient has been informed about how their personal information is being used. It also allows the patient to determine who can view this information in the context of the care being provided to them.
The ways that health and social care operates are diverse and the approach to implementing Permission to View will vary. The Permission to View guidelines are available to support organisations to implement it effectively.
Users must have smartcards with the correct codes enabled and a connection to the secure NHS network.
- log on to SCR on the Spine through the system in use in their organisation, using their smartcard
- choose the correct role, if they have more than one
- search for the patient, using NHS number if possible
- ask for the patient's permission to view the SCR and record it, or choose the emergency access option if the patient is unconscious or can't answer, and add a note
For more information see information governance in SCR.
Scope of viewing SCRs
The original scope of the Summary Care Record (SCR) was to provide access to key information in Urgent and Emergency Care settings. Overtime through close consultation with the Expert Advisory Committee, NHS Digital have progressed a number of proof of concepts to see whether there are benefits, both for patients and health care professionals, for other care settings to access the SCR.
The following care settings are approved for national rollout to view the SCR where a legitimate relationship exists:
- Accident and Emergency
- Acute Assessment
- Community Care
- GP Out of Hours
- GP (for temporary or non-registered patients)
- Hospital Pharmacy
- Minor Injury Units/Walk in Centres/Urgent Treatment Centres
- Scheduled Care
- Mental Health
- Health & Justice (Custody Suites)
- Primary Care
- Community Pharmacy
- Substance misuse
The following care settings are currently either being discussed or there is an active proof of concept but are not approved for further rollout:
- Dentistry (minor oral surgery and community dental providers)
- Domiciliary Care and Care Homes
- Private GP Providers
- Private hospitals and privately funded healthcare services
- Adult Social Care
Providing SCR application functionality on the new SCRa Private Beta
Sexual, contraceptive and reproductive healthcare services.
Whilst there is an active proof of concept with a particular care setting, further roll out is not approved for that care setting. Any care setting outside the above are currently out of scope for SCR. However if you feel that there is a use case for a new care setting to access the SCR, please complete this online expression of interest form.
The PRINCIPLE trial
An exception has been agreed for accessing the SCR to ensure timely prescribing and safe patient care by clinical staff working within the PRINCIPLE trial.
The PRINCIPLE trial seeks to identify treatments that, if used early in the course of coronavirus (COVID-19), will reduce the duration of symptoms and the need to admit people to hospital.
Access to this information may reduce morbidity and mortality for trial participants and may identify new treatments that can reduce morbidity and mortality.
Other ways of accessing this information have already been tried and have not been found effective. This has resulted in multiple patients consenting to trial participation but not having access to trial medications.
An urgent patient and public health need for access to specific information contained within the SCR has therefore been demonstrated.
Last edited: 12 February 2021 1:44 pm