SCR Summary Care Record in Camden
The Summary Care Record contains a patient’s
It does not include anything else; no diseases or other history, nor any medication older than 12m. It can only be viewed by clinicians using a smartcard with the appropriate permissions enabled, involved in the patient’s care. All patients currently registered are automatically opted in. A patient can opt in or out at any time, and this is easily done on EMIS.
Impact on your surgery
As long as all staff are using smartcards, then most will not even be aware of having gone live, as updates to the SCR are done automatically in the background. To prepare for going live you will need to:
Display posters in waiting areas, update your website and waiting room screens, and have opt-out forms available (these will be supplied in electronic form which you can photocopy)
Amend your ‘New Patient Registration’ forms and procedures to include a question on SCR consent.
Record patients’ Opt-in and ‘Opt-outs’ on EMIS
Ensure all staff understand the Summary Care Record and know the difference between it and other programmes such as Care.Data
Benefits to the surgery
You will be able to view current medication and allergies for newly registered patients as you will have access to the SCR from their previous practice, which saves a huge amount of time.
There is a small amount of admin ‘housekeeping’ on EMIS Workflow, which would need to be actioned about once a week. This would usually be done by the person who deals with registrations/deductions and GP2GP on EMIS.
If you have any queries please contact The IT and Systems Team at firstname.lastname@example.org
SCR Consent Form with read codes
Electronic Prescription Service Release 2
The Electronic Prescription Service Release 2 (EPSr2 for short) is an update to the existing Electronic Prescriptions system, which will allow patients to receive their prescriptions directly at the pharmacy of their choice. This makes the prescribing and dispensing process more efficient and convenient for patients and staff.
How does it work?
The patient nominates a pharmacy at which to receive their prescriptions. Once that’s been recorded on the Spine, we can start sending electronic prescriptions. When you issue a drug, a new prescription type appears “EPS – Direct to Main Pharmacy” – this allows EMIS to generate an electronic prescription and send it to the Spine. Once it’s been sent, the nominated pharmacy can download the prescription from the Spine and prepare it to be dispensed. When the patient arrives at the pharmacy, they can be given their medication straight away.
Do I need any special kit to do this?
In short – no. You should already have an EPSr2 accredited system (most pharmacies in Camden do), however if you’re in any doubt then contact your system supplier. The only other thing you need to make sure of is that all staff who dispense prescriptions have a working EPSr2 compliant smartcard. To solve problems with smartcards, contact Camden Registrations Authority on 0203 688 1714.
When (and how) will the training take place?
Training in EPSr2 is handled by your system supplier. Quite often, they will provide a webcast or similar describing the process of EPSr2 and some documentation or online learning on how to use your system to dispense EPSr2 scripts. If you cannot access this material, contact your system supplier.
What happens on the Go Live day?
For a given GP practice to be declared “Live” with EPSr2, they need to have had a prescription sent to a Pharmacy and Received correctly. As a result keep an eye out on the day and you’ll start to see scripts coming in from the practice in question – you’ll also likely have a visit from one of us to make sure all’s well on the day.
How do we deal with reimbursements? Will we still get paid?
You will continue to be paid as normal, however the end of month process changes slightly. For more information, check here
Who do we contact about this? Do we have to start doing anything now?
Email email@example.com. This system doesn’t work unless patients have chosen pharmacies at which to receive their prescriptions, so start collecting nominations for your frequent customers. For further information, head to - http://systems.hscic.gov.uk/eps/dispensing there’s a host of information there that will help you to go live with EPSr2.
Are you making the most of electronic repeat dispensing?
If you're not sure or have any queries click here to access the QIPP page and read the document "Medicines Optimisation through Repeat Dispensing"
The new E-Referral service went live from June 2015 and replaces Choose & Book. This is an exact copy of Choose & Book and no further training is required. The only differences are cosmetic design changes; the Choose & Book URL nww.ebs.ncrs.nhs.uk, log-in processes and smartcards remain the same. All previous patient records will be transferred to the new application. The E-Referral application supports Internet Explorer 7, 8 and 9 (7 will not work optimally) along with Firefox and Google Chrome. For more information, see the Health & Social Care Information Care website.
Patient Online Access
Camden patients will be able to book appointments, order repeat prescriptions and view their medical records online. This is a significant step forward in addressing patients' satisfaction with GP access.
How will we provide access to patient records?
Most practices have already provided patients with access to their core information so will be familiar with the clinical system settings for online services. Patients will be able to ask their GP for a Log-on user name and password, once they provided suitable proof of ID. Your system supplier will provide the necessary training and guidess. Patients can request their detailed coded record which requires ID.
How do we prevent access to records for vulnerable patients? How do we cancel access if we have concerns about patient safety?
Access to records is agreed on a case by case basis. Where it is clear that access should not be provided as this would not be in the best interest of the patient, then the GP should explain that they will not give access and the reasons for this to the patient or their advocate. It is advisable to discuss this with the patient prior to revoking their access. You will need to review the setting for the patient. Your supplier will be able to provide any technical guidance required.
What support is available to practices? Who should we contact with queries?
NHS England and RCGP have developed guidance which is available here. Patient Online Support and Resources Guide is also available.
For support and queries contact the Patient Online team - e: firstname.lastname@example.org - or IT and Systems team - e: email@example.com
FAQ - Patients
FAQ - GPs
Patient Access Documents - EMIS
Patient Online Documents - RCGP
Practice Tips for Patient Access