Overview of Managing the Summary

• The patient National Summary is accessible from the Summary Menu in Consultation Manager.
• The patient consent preference is stored locally (in Vision 3) and dissent is also stored on the NHS Spine (ACS).
• If the patient consents to core data only, the Summary automatically contains current Repeat Medication, repeat medication discontinued in the last 6 months, acute prescription in the last 12 months, allergies, adverse reactions and intolerances.
• For patient's who consent to core date and additional information, the summary automatically contains the core date and additional information Items. Additional information includes active problems, problems linked to medication, priority 1 medical histories, all immunisations. See SCR Additional Information for full details. Some sensitive data is excluded from the National summary, for example, information pertaining to sexually transmitted diseases. These items are automatically withheld and are not sent to the NHS Spine. See Summary Care Record Withheld Data for full details.
• Data that is automatically added cannot be manually withheld from the National Summary. However, data that has been automatically withheld can be manually added, if relevant and sent to the NHS Spine.
• The National Summary is automatically updated when new data is added to the patient record in accordance with the patients consent preference. This update is automatically sent to the NHS Spine when the patient's record is deselected.
• You can maintain a local summary in Consultation Manager for patients who have dissented from the SCR scheme, this is not sent to the NHS Spine.