Patients with Full SCR Consent
SCR v2.1 introduced functionality to make it easier for GPs to create an SCR with additional information for a patients with full SCR consent, 9Ndn.Express consent for core and additional SCR dataset upload.
This can be used to benefit certain patients such as those who are ‘end of life’, the 'frailest 2%', those with long term conditions and those with communication problems for example, learning disabilities or dementia. Existing patients with additional information in their SCR have this supplemented with additional relevant information as described below. Adding additional information remains within the control of individual patients and their GPs. The patient’s ‘express consent’ is required for additional information to be included on the SCR. If the patient’s consent for additional information is recorded in the system, the SCR contains:
- The core information of Medications, Allergies and Adverse Reactions, plus the reason for medication.
- Further relevant information relating to:
Significant problems (past and present)
Significant procedures (past and present)
Anticipatory care information
End of life care information, as per EOLC dataset ISB 1580
Immunisations
The information added to the SCR consists of coded items from the GP record with supporting free text. When the SCR populates with additional information, users can preview the SCR content to ensure sensitive information is not included.
Further individual items can be added. This can be used to include relevant items not automatically included or sensitive items that the patient would like adding to the SCR. The SCR is automatically kept up to date with the relevant information above as the GP record is updated over time. For details of automatically included data, see Additional Information for details.
Patients can be reassured that potentially sensitive items, for example, IVF, STDs, terminations, gender re-assignment, are automatically excluded unless the patient wants them including. If so, the patient must provide consent for their GP to add them. For details of automatically excluded data see
The lists of Read codes used for inclusion and exclusion are set by NHS England and Vision.
