Summary Care Record Programme NHS CFH SCR Programme South Birmingham SCR Team

1. Summary Care Record ProgrammeNHS CFH SCR ProgrammeSouth Birmingham SCR Team

2. What is SCR? • Content of the SCR: • The SCR is an electronic summary of key health information. It will hold limited essential information derived initially from the patients GP record, this will include medication, adverse reactions and allergies and a patients significant medical history. • This will then be added to over time with content such as hospital discharge notes.

3. Do nothing and a record will be created for you Inform your GP practice of your choice and no record will be created When you present for care, you will be asked* if your record can be viewed. What are patients choices? Creating the Record:Do you want a Summary Care Record? YES NO Using the Record: Can I look at your Summary Care Record? *In an emergency when you are too sick to be asked, or under certain medical/legal circumstances (such as court order) the clinicians involved in your care may access the record without asking. Any such actions will be recorded for investigation. See principle six on the next slide. A patient may choose not to be asked again, at which point their consent can be set to “never ask”, See principle five on the next slide.

4. NHS Operating Framework 09/10 The introduction of the Summary Care Record (SCR) will improve patient care, in particular for those with a long-term condition or requiring urgent care. Individual NHS organisations working collaboratively within local health communities should plan for the roll-out of the Summary Care Record (SCR) across LHCs with a focus on urgent care settings. … national roll-out will have commenced during 2008/09, once compliant software is available. SHAs will agree the timeline for implementing the SCR with PCTs… … full roll-out of the SCR will be demonstrated in LHC plans. Roll-out will be based on a two year window for the full deployment of SCR…

5. HS PIP PIP PIP HS HS HS PIP PIP HS PIP SCR Early Adopter Update – 01/06/09 91,258 SCRs created OOH ED WIC Hosp Pharmacy Bolton Diabetes District Nurse GP Clinic RBH Bolton PCT 100,183 SCRs created OOH ED WIC Hosp Pharmacy DAU Ambulance Trust Mental Health Bury PCT MAU Tier 2 Diabetes 28,219 SCRs created South Birmingham PCT 29,120 SCRs created Bradford PCT 40,173 SCRs created Dorset PCT 1st Creations scheduled for Late May South West Essex PCT

6. Healthspace • HealthSpace is a secure online personal health organiser • Anyone 16+ and living in England can open a Basic HealthSpace account • A Basic HealthSpace account allows users to store their personal health information online (weight, blood pressure, blood sugar, drinking, smoking, Choose & Book appointments etc) • Advanced HealthSpace accounts will be available for all patients registered with a GP in participating PCT • Advanced HealthSpace accounts allow access to the patient’s own Summary Care Record

7. Why? • Absolutely crucial to successful implementation • Buyin • Cooperation • Ideas/input • Local knowledge and understanding • Ownership • Benefits realisation

8. How – locally? • A Clinical lead: • Provide a link to clinicians • Presence on the Project Board • Provide clinical advice and input across the project including comms, documents, policy etc • Clinical champion – give other clinicians confidence and reassurance, provide clinical ‘credibility’, have local knowledge, understand local demands, pressures and culture • Provide a clinical reality check • Need to ensure that the clinician offers advice across health providers and communities – not limited to their sphere of reference. • Local Medical Committee – have a member of the LMC on your Project Board • GPs & their Practices • End users – Walk in Centre teams, OOH clinicians, hospital pharmacists, clinical directors eg OOHs, other areas of potential benefit eg End of Life clinicians, Long term conditions, complex health & social

9. How – centrally? Clinical representation: • NHS Care Records Service Board • National Clinical Reference Panel – multidisciplinary, professional bodies represented • Ongoing involvement by BMA, GMC, RCN etc NHS CfH • CfH Clinical Advisors • Clinical Directorate • Clinical Induction events • Supporting SHA/PCT level events

10. SCR in south Birmingham • Started April 2007 • Engagement with key stakeholders (GP leads, A&E, OOH, Community nursing, local acutes and the LMC) • GP engagement evening May 2007 • Sign up from 4 then a further 8 practices • Local practice-by-practice engagement to get sign up

11. What next? • Patient engagement events • Establish project board • Agreed communications • Documented benefits • Data Quality works in practices (took 9 months) • Engaged PCT PALS support • First PIP (July 2007) to 4 practices • Second PIP (August 2007) to 8 practices

12. What have we learnt?? • Find a GP lead / clinical champion • Involve the LMC – give them a place on the project board • Identify other key stakeholders – patients, OOH and community. Involve them. • Don’t promise too much too soon • Must have a dedicated communications resource