Summary Care Records Flashcards

1
Q

What is a Summary Care Record (SCR)?

A

A Summary Care Record is an electronic record that contains essential information about a patient’s health and care.

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2
Q

What key information is typically included in an SCR?

A
  • Minimum info is includes medication information, allergies/adverse, patient info
  • Can choose to include:
  • Significant medical history summary, e.g. long term conditions
  • Reason for medication
  • Specific communications needs (Accessible
  • Information Standard)
  • Details of carers
  • End of life care information
  • Immunisations
  • Aditionals were added during COVID
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3
Q

What is the main purpose of a Summary Care Record?

A

To provide healthcare professionals with quick access to important patient information.

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4
Q

Multiple Choice: Who can access a patient’s Summary Care Record?

A

Healthcare professionals involved in the patient’s care.
As well as patients

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5
Q

True or False: Patients have the right to opt out of having a Summary Care Record.

A

True

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6
Q

Short Answer: How can patients view their own Summary Care Record?

A

Patients can view their SCR through the NHS App or by requesting access from their GP.

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7
Q

What technology is used to store Summary Care Records?

A

Electronic health record systems.

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8
Q

How are pharmacists granted access the SCR

A
  • Request SCR role for your NHS smartcard
  • Pharmacy compaines/hospitals must appoint a SCR governance person
  • SOP regarding SCR
  • SCR of friends/family cant be viewed during practise
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9
Q

Role of the SCR governance person (SGP) for SCR in community pharmacies

A
  • Responsible for checking that SCR is being used properly - only used in line with strict data protection rules for looking at patient records
  • They must be trained for this role
  • Each time an SCR is accessed, an alert is generated. SGPs audit these alerts against records of consent
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10
Q

What is the default status of a Summary Care Record for new patients?

A

Automatically created unless opted out.

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11
Q

Multiple Choice: Which of the following is NOT included in a Summary Care Record?

A

Detailed medical history

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12
Q

To View a patient’s SCR:

A

Access via logging into The National Care Records Service(NCRS) (successor to SCRa)

You must be directly involved in the patient’s care at that point in time - Legitimate Relationship (LR)

Every time you access an SCR, you MUST confirm you have a LR with the patient

Permission from the patient to view the SCR required

Rules on viewing a patient’s care records are set out in the SCR permission to view guidelines

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13
Q

True or False: Summary Care Records are shared with all healthcare organizations.

A

False

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14
Q

Consent for SCR - for patient, child, lacking capacity, patient not present, care home patients

A
  • Verbal or written informed consent required to view SCR for each care episode or repeatedly if discussed and agreed with patient
  • Children: if not able to consent, it can be provided by a parent/guardian
  • Adults lacking capacity: only those with legal authority can provide consent on another person’s behalf (Mental Capacity Act)
  • If the patient is unable to give permission, select ‘emergency access’ and justify why - must be in the best interests of the patient
  • ‘by proxy’ when they arrive care homes inform them that their preferred pharmacy may access SCR
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15
Q

Name some benefits to patients and NHS of the SCR

A
  • Fewer referrals to other NHS care settings
  • Reduced phone calls to GP practices
  • Fewer prescribing errors
  • Reduced patient waiting times
  • Improved service for patients
  • Safer service to patients
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16
Q

Limitations of the SCR

A
  • No blood test results
  • Most SCR have minimal data
  • Might not be upto date if patient has been to another care setting
  • OTCs/private meds
  • Drugs prescribed exclusively by hospitals
17
Q

What privacy measures are in place for Summary Care Records?

A
  • Access is restricted to authorized healthcare professionals only.
  • Verbak or written consent is required to view SCR
18
Q

What is SCR used for in community pharmacy

A
  • Emergency supplies - check SCR to confirm what was prescribed, dosage, frequency
  • Pharmacy Firs must access SCR
  • Adverse reactions/allergies - check SCR to make sure medication is safe
  • Vaccinations and other services – e.g. if a patient asks for an NHS flu vaccination, check SCR
  • Has a prescription been written? - access SCR to see if a prescription has been issued by GP
  • DMS
19
Q

Multiple Choice: How often are Summary Care Records updated?

A

Regularly, as new information becomes available.

20
Q

Why dont community pharmacists use SCR enough

A
  • Takes too long
  • Getting consent is difficult
  • Needs a pharmacy professional to have Smartcard access and be trained
21
Q

What is it used for in Hospital Pharmacy?

A
  • Med reconciliation
  • Useful resource alongside patient, PODs, MAR charts, relatives etc.