How do I replace the summary when a patient dissents?

The GP may, on the patient’s instruction, reset the patient preferences to 9Ndo.00 Express Dissent for Core Summary Care Record Data Set Upload. A blank summary is no longer added or displayed. The dissenting record prevents access to the patient's SCR on the Spine, the summary cannot be viewed.

The GP can continue to maintain the summary as a ‘local’ summary which can be viewed on the National Summary tab; this includes the automatic addition of core data items as they are added. The updated information is not sent to the Spine.