Presentation on theme: "The Summary Care Record & Medicines Reconciliation"— Presentation transcript:
1The Summary Care Record & Medicines Reconciliation Andy CarrNHS CFH SCR Clinical AdvisorOctober 2012
2Summary Care Record (SCR) What is the SCR?National RolloutExperiences of using the SCR in Medicines ReconciliationQuestions
3What is the SCR?The SCR is an electronic summary of key health information. It will hold limited essential information (medication, adverse reactions and allergies) derived from the patient’s GP recordAdditional information (e.g. care plans) may be included at the request of (or with the explicit consent of) the patient
5National Rollout of the SCR 19 million people have an SCRRecords created by 2700 GP practices in 109 PCTs39.7 million patients contacted in 139 PCTsOpt out rate 1.3%
6SCR National Rollout October 2012 KEYPCT Commenced Public Information ProgrammePCT Commenced Record CreationOver 60% Records CreatedAll Practices Have Created SCRs
7SCR Benefits – High Level Patient Safetyreducing the risk of prescribing errors & adverse reactions to prescribed medicationIncreased efficiency and effectivenessreducing time, effort & resource required to share information across different NHS organisationsIncreased Quality of Patient Careenabling the most appropriate care to be delivered in the most appropriate setting
8Hospital Pharmacists NICE patient safety guidance: ‘The aim of medicines reconciliation on hospital admission is to ensure that medicines prescribed on admission correspond to those that the patient was taking before admission.’SCRs can play a key role in medicines management for patientsSCRs have the potential to free up time for both hospital pharmacists & GP surgeries
11Medway Maritime SCR Pilot: 69% of patients were admitted without medication information18% reduction in time taken to reconcile medicationsApprox 1 error per patient found e.g. an inconsistency discovered between hand written notes & the SCR when reconciling medicationsSupports clear communicationsBetween GP & hospitalBetween pharmacy staff & ward doctorsReducing the risk of transcribing or communication errorsReduces delays e.g. lunchtime, weekends when surgeries are closedExpedites discharge process when prescriptions information known
12Taunton & Somerset SCR Pilot: Musgrove Park Hospital 400 reconciliations/week80 calls to GPs10 minutes per call ~ 700 hours p.a.For 40 SCR Views5 minutes per viewSaves 173 hours p.a.SCR Surgeries may also reduce time spent faxing
13Sheffield SCR Pilot: Patients admitted to the MAUs The introduction of the SCR reduced average time for medicines reconciliation from 2 hrs 9 mins to 19 minsPharmacist is able to complete medicines reconciliation for the patient without having to break off & wait for the information to become available from the GP. This allows a more systematic approach with fewer interruptions & reduced errorsThe pilot has shown the SCR to be an effective & valuable source of information for reconciling medications. Recommendation that this is rolled out team by team across the pharmacists and MMTs within Sheffield Teaching Hospitals NHS Trust
14Leeds SCR Use:Pharmacists now spend less time waiting to get hold of a GP practice, or for a fax to arrive to confirm the patient’s medicines when an SCR is availableIn the 4 months since the new way of working started, time taken to complete medicines reconciliation has reduced by 55% - now only taking 19 minutesThe team are now meeting the 24 hour target for completing medicines reconciliation 87% of the time (previously this was 57%)“Pharmacists love the SCR because it makes their life a lot easier. This translates into a better service for patients, more accurate patient notes and as a result improved patient safety.”
16Enabling Viewing of the SCR isn’t hard SmartCards for authorised staffSmartCard readers on computersSecure N3 connection (which all hospitals have)Some training - mainly the IG aspectsPatients need to be asked for Permission to View their SCR (if unable to give permission because not mentally competent, confused or unconscious – staff should use ‘Emergency Access’ in the patient’s best interest)The Trust needs to identify a ‘Privacy Officer’ who can audit emergency access & any self-claimed access to ensure that there is no malicious or inappropriate viewing And that’s it !
17My questions to you Are you using the SCR? Are you fully realising the benefits?Have you signed up for our newsletter?Do you follow us on Twitter?Do you want to get involved – locally or nationally?Do you have any questions for me?
18Useful Links SCR Website: SCR Deployment Map: Clinical use of the SCR: SCR Deployment Map:Clinical use of the SCR:Subscribe to our Newsletter:Follow us on Twitter: