The Summary Care Record (SCR) is an electronic record of important Patient information, created from GP medical records. It can be seen and used by authorised staff in other areas of the health and care system involved in the Patient's direct care.
From an interoperability perspective there are two aspects to the summary care record:
- Providing the ability for authorised staff to access the summary care record, for which there are a range of options
Both of these aspects are covered in the documentation below.
Additional information is available at NHS Digital's summary care record site
Compliance, Assurance and Testing
To gain access to SCR suppliers follow the Common Assurance Process (CAP). CAP is an end-to-end assurance process, which involves a tailored (CAP) approach being developed which states what deliverable and activities are conducted.
As part of the CAP suppliers will be asked to demonstrate adherence to the following specifications:
These specifications contain a set of generic requirements applicable to all systems seeking compliance to a business domain. Compliance with these specifications is mandatory and established through the CAP.
For advice, access to the documentation, and support from the NHS Business Partners programme, please contact email@example.com or visit https://digital.nhs.uk/services/nhs-business-partners
The NPFIT-SCR-SCRDOCS-0038.01 NHS CFH SCR Clinical Message Validation Process v1 document provides guidance on the clinical safety validation processes for SCR messaging.
Summary Care Record Creation
GP Summaries are created and sent to the Summary Care Record repository (on Spine) via messaging from GP systems which implement the Patient Information Maintenance .
To create summary care records and provide them to the service, suppliers must implement the requirements detailed in GP Summary Requirements v5.8.3.
Summary care messages contain XHTML information and generated messages must conform to the specification in NPFIT-SHR-MODL-SUMREC-0025 08 GP Summary Presentation Text Specification v3.1 (Approved).xlsx
Implementations must comply with the NPFIT-EP-DB-0007.05 Allergy_ADR_Intolerance v 1.5 Draft for all representations of medication-related adverse clinical events.
Implementations must the SCR GP Summary Sending Compliance v3 - Baseline Index v6.0
Message definitions are detailed in the for Summary Care Record
Further information useful for implementers of this interface such as Use Cases, Trigger Events and Sequence Diagrams may be found in the Spine Message Implementation Manual (MIM). NB version 4.2 is the version used for the GP Summary Update message.
Also, see MIM 4.2.00 Known Issues
Summary Care Record Viewing
SCR viewing must be implemented in line with the Summary Care Record Permission To View Guidelines.pdf
General requirements for SCR viewing (regardless of implementation mechanism) are set out in NPFIT-FNT-TO-DPM-0929.03 SCR Viewing Requirements v1.6 (Approved)
Guidance for implementing Role-Based Access Control for SCR viewing is found in NPFIT-SI-SIGOV-0073 04 Guidance on Implementing RBAC for PSIS and PDS v2.0
Suppliers have a number of options for implementing summary care record viewing, as detailed below:
Creating a compliant implementation requires implementing the following dependent interface standards: