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 and 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:
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.
Last edited: 20 January 2023 2:51 pm