Transcript Accessing the Summary Care Record

NHS CRS Summary Care Record
Concept Training for GP Practices
Trainer Name
Delivery Date
Version 2.0 – Issue Date: 30/04/08
Module 1 - SCR Concept Training - Presentation AUTHORISED
"This is a controlled document. This document version is only valid at the time it is retrieved
from the controlled file store."
Course Introductions
•
Trainer Introduction
•
Delegate Introductions
•
Delegate Expectations
Course Objectives
•
By the end of this course you will be able to:
–
–
–
–
–
•
Explain what a patient’s Summary Care Record is;
Explain what is added to it and how;
Discuss with patients what their choices are;
Accurately respond to patient queries;
Access a range of resources to help you and the patient,
including suggested business processes.
And understand and be able to plan for:
–
–
–
–
The correct use of Smartcards;
The Public Information Programme;
Data Quality, Patient Confidentiality and Best Practice
Planned future developments.
Course Agenda
•
Introduction to the NHS Care Records Service
and the Summary Care Record
•
Creating the Summary Care Record
•
Accessing the Summary Care Record
•
Understanding Patient Choices
•
Informing Patients
•
Practice Readiness
•
Sources of Information
•
Course Close
Introduction to…
- the NHS Care Records Service
- the Summary Care Record
NHS CRS & NHS SCR
•
•
Introduction to…
– The NHS Care Records Service (CRS)
– The NHS Summary Care Record (SCR)
– The Benefits of Sharing Data
SCR Contents
– General Practice Initial Summary
•
Medication, Allergies & Adverse Reactions
– General Practice Summary
•
•
•
Updates to the GP Initial Summary content
Diagnoses may also be added
Early Adopter Programme
Creating the Summary Care Record
Creating the Summary Care Record
No other clinical data will
be submitted to the SPINE
without the patient having
given permission.
GP System
Patient’s
‘Core’ Data:
Medications,
Allergies &
Adverse
Reactions
PSIS
Personal
PATIENT SUMMARY
Spine
CARE RECORD
Information
CREATED
Service
SPINE
PDS
Personal
Demographics
Service
Accessing the Summary Care Record
- Healthcare Staff via CSA
- The Patient via HealthSpace
Accessing the Summary Care Record
- Healthcare Staff via CSA
PSIS
PATIENT SUMMARY
CARE RECORD
GP
With the patient’s consent the healthcare staff
member will be able to open and view the
contents of the SCR.
Having found
the
passcode
There are limitedPatient’s
circumstances
where the
Demographic
NB: If a blank record has
healthcare staff member
may
be
able
override
record,
healthcare
been sentthe
– no
clinical to
data
Practice
the status set bystaff
the patient.
For
member
will example
be
will be available
following a Court
ableOrder
to seeorifby
theStatute.
patient
has an SCR held on
PSIS and whether or
not it has been shared.
Personal
Spine
Information
Healthcare
Service
Staff
SPINE
PDS
Personal
Demographic
Service
Healthcare staff member
finds patient’s Demographic
record on PDS Clinical Spine Application (CSA)
Smartcard Reader
Patient
Accessing the Summary Care Record
- the Patient via HealthSpace
• A secure online personal health organiser.
• Anyone over the age of 16 and living in
England can register to have a HealthSpace
account.
• Two levels of registration:
– HealthSpace Basic - store their personal health
information online (height, weight and blood pressure).
– HealthSpace Advanced - view their Summary Care
Record
Understanding Patient Choices
- To Store or NOT to Store
- To Share or NOT to Share
Patient Choices
STORE 
STORE 
DON’T STORE 
Clinician - via CSA:
Clinician - via CSA:
Clinician - via CSA:
A Summary Care Record,
visible to an authorised
user, with a Legitimate
Relationship to that patient.
A Summary Care Record will
exist but will not be
automatically visible to any
authorised user. A patient
may give a clinician
permission to override the
share status and view the
record. The status could be
overridden without patient
consent, following a court
order or by statute.
A blank summary created,
stating that the patient did
not want to have a
Summary Care Record.
Even if the consent status
is overridden or changed to
‘Share’ no data is available
to be viewed.
Patient – via
HealthSpace:
The patient’s Summary
Care Record, visible to that
patient only.
SHARE 
Patient – via
HealthSpace:
The patient’s PDS data will
be visible. The patient’s
Summary Care Record, will
not be visible.*
Patient – via
HealthSpace:
The patient’s PDS data will
be visible. A note indicating
that no clinical data
is available will also be
visible.
DON’T SHARE 
(*There are plans for functionality to be developed which will enable patients to see
their own record if they have decided not to share – projected availability – mid June 2008. )
NOT Storing
a Summary Care Record
The patient can change their mind
at any time by contacting their GP
Practice and later have a Summary
Care Record created.
Patient has
decided they do
NOT want a
Summary Care
Record to be
stored.
BLANKPSIS
Personal
PATIENT SUMMARY
Spine
CARE RECORD
created with
Information
NO clinical Service
data
uploaded
SPINE
PDS
Personal
Demographic
Service
Storing a Summary Care Record –
No objection raised
NO ‘supplementary’ data can
be added without the patient
‘expressing’ their consent.
Patient’s
Core Data:
Medications,
Allergies &
Adverse
Reactions
Following the Public
Information Programme,
the patient has not
raised any objections to
having a Summary Care
Record stored.
PSIS
PATIENT SUMMARY
Personal
CARE RECORD
Spine
created containing
Information
Medication, Allergies
&
Service
Adverse Reactions
SPINE
PDS
Personal
Demographic
Service
Storing a Summary Care Record –
SCR requested
‘Supplementary’ data can be
added to the SCR without the
patient ‘expressing’ further
consent.
Patient’s
Core Data:
Medications,
Allergies &
Adverse
Reactions
Following the
Public
Information
Programme the
patient has
requested that a
Summary Care
Record IS
stored.
PSIS
PATIENT SUMMARY
PATIENT SUMMARY
Personal
CARE RECORD
CARE RECORD
Spine
containing
containing
Medication, Allergies
&
Information
Medication, Allergies
&
Adverse Reactions
plus
Service
Adverse Reactions
other ‘supplementary’ data
SPINE
PDS
Personal
Demographic
Service
Sharing a SCR
– No record stored
Following the Public
Information Programme,
the patient has decided
they do NOT want a
Summary Care Record to
be stored.
A blank Summary Care
Record has therefore
been created that
contains no clinical data.
As there is nothing to
view within this Summary
Care Record there is no
decision to be made for
sharing.
Sharing a SCR
– Implied Consent
Following the Public
Information Programme, the
patient has not raised any
objections to having a
Summary Care Record
stored.
A Summary Care Record
has therefore been stored
with ‘Implied Consent’ to
sharing the clinical
content of the record with
other healthcare staff
outside the
authoring organisation.
Sharing a SCR
– Expressed Consent
Following the Public
Information Programme, the
patient has agreed to have a
Summary Care Record
stored.
They have also stated that
they wish for the clinical
content of their record to be
automatically shared with
other authorised healthcare
staff outside the authoring
organisation.
A Summary Care Record
has therefore been stored
and marked as
‘Express Consent’.
Sharing a SCR
– Expressed Dissent
Following the Public
Information Programme,
the patient has agreed to
have a Summary Care
Record stored.
However, they have also
stated that they DO NOT
wish for the clinical content
of their record to be
automatically shared with
other authorised
healthcare staff outside of
the authoring organisation.
A Summary Care Record
has therefore been
stored and marked as
‘Express Dissent’.
Informing Patients
- The Public Information Programme (PIP)
Timeline of Events – PIP to SCR
Practice
Practice meets all DataLetter
Quality
and Technical requirements and
Authorised to ‘Go Live’
SCR CREATION
Patient
Following
the end of the Public
Information
leaflet and
Information
Programme…
PCT/
Information Booth/
GP Practice
I need some
WhatWhat
are my
should
time to think
Where can I
choices?
I do?
about this…
get some
Decisio more
information?
n made!
I would like
to …
FP69
Patient
Summary
•Care Record
Care Guarantee
Record Information
Leaflet Helpline
0845
•www.nhscarerecords.nhs.uk
603 8510
Practice Readiness
- Key Elements to Consider
- Recording Patient Choices
Practice Readiness
– Key Elements to Consider
• Handling Patients Questions
– NHS Care Records Service Website
• www.nhscarerecords.nhs.uk
– Nominated ‘Experts’
• Recording Patient Choices
– Agreed Practices for Recording Expressed Choices
– Printing Patient Summaries
• Data Quality
– Data Accreditation
– Paper-light
•
•
•
•
HealthSpace Registrations
Children
Temporary Residents
New Patients
Recording Patients Choices
- Pre Software Upgrade
STORE 
STORE 
DON’T STORE 
Read Code: 93C2
Read Code: 93C2
Read Code: 93C3
To upload supplementary
data (beyond ‘core’ data –
Medication, Allergies and
Adverse Reactions) now
and continually.
To upload ‘supplementary’
data (beyond ‘core’ data –
Medication, Allergies and
Adverse Reactions) now
and continually.
No clinical data will
be uploaded unless
the patient changes
their consent.
No read code required
for ‘core’ data.
No read code required
for ‘core’ data.
PDS Flag set to share:
PDS Flag set to
Don’t Share:
set via Web Referrer
set via Web Referrer
SHARE 
DON’T SHARE 
No PDS Flag required
Recording Patient Choices
- Post Software Upgrade – GP System Software Examples
•
This material was created using pre-release software and as a result minor differences may exist
between the screen images used and the released version.
Further Sources of Information
- The SCR Implementation Website
- Other Sources of Information
The Summary Care Record
Implementation Website
•
•
Purpose
Accessing
www.connectingforhealth.nhs.uk/systemsandservices/nhscrs/scr
•
Updates
Other Sources of Information
•
Local Events
– E.g. Information Booths
– During the PIP and around ‘go live’ time
•
Additional Information
– Patient Leaflets
•
Sent to patients and others available to order
– NHS Care Record Service Information Line
•
0845 603 8510
– Internet
•
or
•
www.nhscarerecords.nhs.uk
www.connectingforhealth.nhs.uk
End of Course Review
- Objectives Revisited
- Questions & Answers
- Close
Objectives Revisited
•
You are now be able to:
–
–
–
–
–
•
Explain what a patient’s Summary Care Record is;
Explain what is added to it and how;
Discuss with patients what their choices are;
Accurately respond to patient queries;
Access a range of resources to help you and the patient,
including suggested business processes.
And now understand and are able to plan for:
–
–
–
–
The correct use of Smartcards;
The Public Information Programme;
Data Quality, Patient Confidentiality and Best Practice;
Planned future developments.
Questions & Answers
•
Any questions?
Course Close
•
Please complete the end of course questionnaire
and return to your trainer:
Trainer Name
Delivery Date
•
Thank you for your time…