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    General practice pharmacist scheme evaluation indicates ‘improved capacity’ as the main benefit

    Tuesday, 31 July 2018 15:31
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    NHS Digital seeks views on SCR with Additional Information

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Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
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summary-care-recordsOctober 15 2014

Community pharmacies are starting to access patients’ summary care records with proof of concept projects under way in three areas.

The pilot scheme will assess if providing community pharmacies with electronic access to the SCR on a ‘read only’ basis will support the increasing demands on the wider health system. It is expected that the proof of concept pilot will be completed and recommendations for any future rollout will be issued by March 2015.

Pharmacies in West Yorkshire and Sheffield, the East midlands (Northamptonshire and Derbyshire) and in Somerset are taking part in the scheme. Access to the SCR is seen as particularly important when a patient needs emergency or unplanned care.

To support the pilot, the Royal Pharmaceutical society has produced new guidance about using the SCR and is also supporting delivery of awareness sessions at a local level in partnership with Local Practice Forums.

The RPS describes the SCR as “a ‘read only’ electronic patient summary containing key clinical information ... created using information held by a patient’s GP practice.

“As a minimum, the SCR contains:

•    medicines: acute, repeat and discontinued repeat items (discontinued items will be dependent upon the GP system which created it)
•    allergies
•    adverse reactions.”

While not always present, the SCR may include other information such as diagnoses and test results.

The aim of the project is to test whether it is possible to implement SCR viewing on community pharmacy IT systems, as well as help identify the best way to expand the scheme to all community pharmacies.

However, the RPS points out that for this to happen then the scheme will have to demonstrate that there is a value to accessing the SCR. This could be useful in circumstances such as:

•    dispensing an emergency supply at the request of a patient to confirm that they have previously been prescribed the medicine and in what dose
•    to support the New Medicine Service or for use during a medicines use review
•    times when further information on the medicines or allergy history is required from the GP without having to disturb the GP
•    when supplying medicines under patient group directions or during minor ailments consultations.

To access the SCR will require the use of an upgraded smartcard. The system will record the permission to view the SCR with the details of the pharmacist and pharmacy accessing the record.

The RPS points out: “Patient identifiable data used by pharmacists and pharmacy technicians, whether accessed from national NHS care records or stored in local or networked systems is subject to relevant NHS Information Governance requirements.

“These cover many aspects of good practice in information management and security including prevention of accidental disclosure, security of hardware and software, staff training, management of critical incidents and various others.”

Links:

RPS statement

RPS SCR access guidance

Practice News

July 31 2018 General practices employing pharmacists are citing improved capacity to see patients and workload changes as the main benefits of the scheme.
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