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I scr speak highly enough scr SCR! Million bet Digital is csr to progress these applications scr sc issued guidance for RAs. The GP was therefore able to successfully reassure the patient to continue with their medication. Find out more! In some circumstances practices can also amend SCR opt-out decisions.

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Telephone: National data sharing GP Connect and Summary Care Record Additional Information. The temporary changes made to GP Connect and Summary Care Record Additional Information in response to the COVID pandemic will continue beyond the end of the Control of Patient Information COPI Notice.

Summary Care Records with Additional Information — user research report. Findings from a research project investigating the usefulness of Additional Information in Summary Care Records.

Summary Care Record in community pharmacy. NHS Digital is working to make sure all community pharmacies can view Summary Care Records SCR. Discover the benefits of SCR and how to view them. Information governance for Summary Care Records SCR.

Information governance for Summary Care Records SCR is about making sure patient information is secure and only accessed appropriately. Summary Care Records SCR - information for patients.

Your Summary Care Record is a short summary of your GP medical records. It tells other health and care staff who care for you about the medicines you take and your allergies. Additional Information in SCR. Guidance for GP practices to use SCR to make more information available across care settings.

View Summary Care Records SCR. Find out about viewing Summary Care Records SCR , including ways to connect to SCR on the Spine and how to set up your healthcare organisation to view SCRs.

Recording medicines prescribed elsewhere into the GP practice record. The Summary Care Record SCR is an electronic record of important patient information created from GP medical records. Summary Care Record SCR : GDPR information.

Why and how we process your data in the Summary Care Record system, and your rights. Summary Care Record - FHIR API. Access a patient's Summary Care Record SCR , an electronic record of important patient information, using our FHIR API. Summary Care Record - HL7 V3 API. Access a patient's Summary Care Record SCR using our HL7 V3 API.

Also previously known as PSIS query and GP summary. Last edited: 7 February pm. Skip to main content. Internet explorer is no longer supported We have detected that you are using Internet Explorer to visit this website. NHS Digital Services Summary Care Record SCR.

Summary Care Record Summary Care Record SCR is a national database that holds electronic records of important patient information such as current medication, allergies and details of any previous bad reactions to medicines, created from GP medical records.

Page contents Top of page About this service Benefits Who this service is for What information is available National usage policy How this service works Examples of use Status, service level and current usage How to access this service Contact us Related services Further information.

Summary Care Record application SCRa retired We retired the SCRa on 31 October for the majority of users. National data sharing and Summary Care Record Additional Information The temporary changes made to Summary Care Record Additional Information in response to the COVID pandemic will continue beyond the end of the Control of Patient Information COPI Notice.

About this service. Health or social care. Summary Care Record. get record. National Care Records Service. Local point-of-care application. GP Practice.

GP software. create or update record. Summary Care Record SCR is a national database that holds electronic records of important patient information such as current medication, allergies and details of any previous bad reactions to medicines It is created from GP medical records - whenever a GP record is updated, the changes are synchronised to SCR.

Benefits Benefits of SCR include: makes care safer reduces the risk of prescribing errors helps avoid delays to urgent care For more information about the benefits and uses of SCR, visit Benefits and uses of Summary Care Records in community pharmacy - NHS Digital.

SCR does not have a user interface - users must access it indirectly via user-facing applications, namely: local point-of-care applications for health and care workers, such as a Patient Administration System PAS in a hospital the National Care Records Service Who is included The original scope of SCR was to provide access to key information in urgent and emergency care settings.

What information is available SCR holds information for anyone who was born in England, or who has registered for NHS care in England. Who is included SCR holds information for: anyone born in England anyone else who has registered for NHS care in England What information is held for each patient At a minimum, the SCR contains important information about: current medication allergies and details of any previous reactions to medicines the name, address, date of birth and NHS number of the patient In addition, details of long-term conditions, significant medical history, or specific communications needs, is now included by default for patients with an SCR, unless they have previously told the NHS that they did not want this information to be shared.

National usage policy An SCR should only be viewed if the health or social care worker is involved in the patient's care. How this service works For patients 1. GP information on creating SCRs and including additional information 1. It is then updated automatically. Viewing SCRs 1. The first large-scale SCR was installed by the IHI Corporation in SCR systems are now the preferred method for meeting Tier 4 Final and EURO 6 diesel emissions standards for heavy trucks, and also for cars and light commercial vehicles.

The NO x reduction reaction takes place as the gases pass through the catalyst chamber. Before entering the catalyst chamber, ammonia, or other reductant such as urea , is injected and mixed with the gases. The chemical equation for a stoichiometric reaction using either anhydrous or aqueous ammonia for a selective catalytic reduction process is:.

The ideal reaction has an optimal temperature range between and K and °C , but can operate as low as K °C with longer residence times.

The minimum effective temperature depends on the various fuels, gas constituents, and catalyst geometry. Other possible reductants include cyanuric acid and ammonium sulfate. SCR catalysts are made from various porous ceramic materials used as a support , such as titanium oxide , and active catalytic components are usually either oxides of base metals such as vanadium , molybdenum and tungsten , zeolites , or various precious metals.

Another catalyst based on activated carbon was also developed which is applicable for the removal of NOx at low temperatures. Base metal catalysts, such as vanadium and tungsten, lack high thermal durability, but are less expensive and operate very well at the temperature ranges most commonly applied in industrial and utility boiler applications.

Thermal durability is particularly important for automotive SCR applications that incorporate the use of a diesel particulate filter with forced regeneration. They also have a high catalysing potential to oxidize SO 2 into SO 3 , which can be extremely damaging due to its acidic properties.

Zeolite catalysts have the potential to operate at substantially higher temperature than base metal catalysts; they can withstand prolonged operation at temperatures of K °C and transient conditions of up to K °C. Zeolites also have a lower potential for SO 2 oxidation and thus decrease the related corrosion risks.

The honeycomb form usually consists of an extruded ceramic applied homogeneously throughout the carrier or coated on the substrate. Like the various types of catalysts, their configuration also has advantages and disadvantages. Plate-type catalysts have lower pressure drops and are less susceptible to plugging and fouling than the honeycomb types, but are much larger and more expensive.

Honeycomb configurations are smaller than plate types, but have higher pressure drops and plug much more easily.

Several nitrogen-bearing reductants are currently used in SCR applications including anhydrous ammonia , aqueous ammonia or dissolved urea. All those three reductants are widely available in large quantities. Anhydrous ammonia can be stored as a liquid at approximately 10 bar in steel tanks.

It is classified as an inhalation hazard , but it can be safely stored and handled if well-developed codes and standards are followed. Its advantage is that it needs no further conversion to operate within a SCR and is typically favoured by large industrial SCR operators.

Aqueous ammonia must be first vaporized in order to be used, but it is substantially safer to store and transport than anhydrous ammonia. Urea is the safest to store, but requires conversion to ammonia through thermal decomposition.

Most catalysts are given a finite service life due to known amounts of contaminants in the untreated gas. The most notable complication is the formation of ammonium sulfate and ammonium bisulfate from sulfur and sulfur compounds when high-sulfur fuels are used, as well as the undesirable catalyst-induced oxidation of SO 2 to SO 3 and H 2 SO 4.

In applications that use exhaust gas boilers, ammonium sulfate and ammonium bisulfate can accumulate on the boiler tubes, reducing steam output and increasing exhaust back-pressure. In marine applications, this can increase fresh water requirements as the boiler must be continuously washed to remove the deposits.

Most catalysts on the market have porous structures and a geometries optimized for increasing their specific surface area a clay planting pot is a good example of what SCR catalyst feels like. This porosity is what gives the catalyst the high surface area needed for reduction of NOx.

However, soot, ammonium sulfate, ammonium bisulfate, silica compounds, and other fine particulates can easily clog the pores. Ultrasonic horns and soot blowers can remove most of these contaminants while the unit is online. The unit can also be cleaned by being washed with water or by raising the exhaust temperature.

Of more concern to SCR performance are poisons , which will chemically degrade the catalyst itself or block the catalyst's active sites and render it ineffective at NO x reduction, and in severe cases this can result in the ammonia or urea being oxidized and a subsequent increase in NO x emissions.

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About this service

You should use a modern browser such as Edge, Chrome, Firefox, or Safari. If you have difficulty installing or accessing a different browser, contact your IT support team. An application which allows health and care professionals to view clinical and demographic information.

Summary Care Record application SCRa retired. We retired the SCRa on 31 October for the majority of users. National Care Records Service is the successor to SCRa.

A small number of users will continue to have access to SCRa, those who use the Chargeable Status tab. This group of users will be switched over to NCRS in early Health and care staff can access the National Care Records Service NCRS. National data sharing GP Connect and Summary Care Record Additional Information.

The temporary changes made to GP Connect and Summary Care Record Additional Information in response to the COVID pandemic will continue beyond the end of the Control of Patient Information COPI Notice.

SCRa is a web based application which allows health and care professionals to view clinical and demographic information using:.

SCR can also be accessed using integrated viewers in existing clinical systems, for example Adastra Advanced Health and Care , Web EMIS and SystmOne TPP. To use SCRa, a user requires a smartcard, passcode and relevant role for authentication.

Access to SCRa using Internet Explorer IE and IE compatibility web browsers is no longer available. Find out about switching to a modern browser.

NHS Digital is working to make sure all community pharmacies can view Summary Care Records SCR. The portal you use to access Summary Care Records is changing. The Summary Care Record application SCRa portal is closing down on 29 September and being replaced by the National Care Records Service NCRS portal.

For more information on what you need to do to ensure you have continued access, go to the NHS Digital National Care Records Service NCRS webpage. We have developed an e-learning programme to support you to use SCRs when consulting with patients. This programme provides you with information about accessing the records, patient confidentiality, record-keeping and the essential information governance principles that underpin the process.

In addition, passing the associated CPPE e-assessment is a pre-requisite for access via your NHS Smartcard. Tick the box in the My CPPE section of your CPPE account to complete the Summary Care Records assessment registration process.

Book a demo! The summary gives a clear picture of incomplete records which was well received in a recent Ofsted inspection.

Folio Trust. Key Module Benefits. Cirrus Primary Academy Trust. Automatic addition of new starters and removal of leavers from the SCR Consistent format of data across your academies for ease of understanding Reduce stress with the assurance that this critical component of a successful Ofsted inspection is correctly populated.

Find out more! Our HR software is modular. Take a look at some of the other modules available in Every HR! Absence Management. Compliance HR Log in. Blog News Case Studies Events. About Every Careers Terms and Conditions Privacy Policy GDPR Statement Coronavirus COVID Information.

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Summary Care Records (SCR) Jambofutaa contraception service finder A new service finder, scr the NHS scr, lets scr of acr public and scr. However, sccr there scr a acr case for a new care setting to access the SCR, complete the online expression of interest form. If a patient has recently changed GP, the SCR may not be created or fully updated. Your SCR is created automatically when registered with a GP practice in England. Learn more.
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The temporary changes made to GP Connect and Summary Care Record Additional Information in response to the COVID pandemic will continue beyond the end of the Control of Patient Information COPI Notice.

SCRa is a web based application which allows health and care professionals to view clinical and demographic information using:.

SCR can also be accessed using integrated viewers in existing clinical systems, for example Adastra Advanced Health and Care , Web EMIS and SystmOne TPP. To use SCRa, a user requires a smartcard, passcode and relevant role for authentication. Access to SCRa using Internet Explorer IE and IE compatibility web browsers is no longer available.

Find out about switching to a modern browser. NHS Digital is working to make sure all community pharmacies can view Summary Care Records SCR. See the Summary Care Record SCR in community pharmacy page for full details. To help the NHS to respond to the coronavirus COVID pandemic, we are providing coronavirus vaccination event information and additional information in Summary Care Records for patients by default, unless they have previously told the NHS that they did not want their information to be shared.

Users of the Summary Care Record application and the 1-Click Service will be made aware of specific suspected and confirmed COVID information by a message box displayed on the SCR. We would like to know more about how health and care professionals access patient records, to better understand how we can tailor future developments to meet their needs.

You can contact us by emailing [email protected]. Please email your enquiries to: [email protected] and reference the SCRa. The National Care Records Service provides a quick, secure way to access national patient information to improve clinical decision making and healthcare outcomes and it is free to use.

Find out how we're using the Summary Care Record to ensure health and care professionals have the information they need to provide patient care. We offer an integration service for systems suppliers for them to launch the National Care Records Service from within their local applications.

It's a simpler and less resource intensive method to view the service, and replaces the previous 1-Click Service to view the Summary Care Record Application SCRa. Please cc Community Pharmacy England: it cpe. From 1 April , the terms of service began to require NHS pharmacists who have access to SCR to access this if they consider, in their clinical judgment that it is in the best interests of the patient to do so.

If an NHS pharmacist does access the SCR then this must be in accordance with The NHS Care Record Guarantee guidance. Community Pharmacy England is sometimes asked whether contractors must access SCR and when.

If so, then your access of SCR must be in accordance with The NHS Care Record Guarantee guidance available here. Pharmacy contractors with access to more detailed records such as Local Health and Carer Records LHCRs may make a determination that access to the LHCR means an additional access to SCR would not be necessary.

SCRs can only be accessed by pharmacists and pharmacy technicians, and this regulatory change does not amend that. Most contractors have previously ensured their pharmacists and pharmacy technicians have access to SCR, as this was originally a requirement of the Pharmacy Quality Scheme.

Situations where consistent and reliable access to SCR may be outside the control of the contractor could include the SCR system being down at a national level and internet connection problems or power supply issues which the contractor has reported and their provider is seeking to fix.

A failure to ensure a new pharmacist or pharmacy technician member of staff or a locum has a working NHS Smartcard which allows access to SCR would be a circumstance within the control of the contractor.

Pharmacy contractors with access to a more detailed record system such as their Local Health and Carer Record LHCR and access to SCR maintain access to SCR. SCR could be used as a backup in the event of an outage with the LHCR system. The National Pharmacy Association has provided to NHS Digital the following statement:.

Numark Ltd has provided to NHS Digital the following statement:. As such, our policy will provide cover to pharmacists and technicians utilising and operating within approved guidelines and continuing to act with due regard to patient safety, care and consent.

The General Pharmaceutical Council released a statement regarding liability:. We believe that access to records will increase dialogue and communication and improve collaboration with other healthcare professionals. Whilst this is not a new area for some of the profession, for example those working in hospitals or those who work as prescribers, we recognise that this is a developing area for community pharmacy.

Pharmacy professionals who can access patient medical records must ensure that they apply the principles and requirements of conduct, ethics and performance to any additional information that they can access as result of these changes. Under the first principle in those standards, concerning governance, standard 1.

Within some areas of England, pharmacy contractors may be accessing Local Health and Care Records LHCRs. For example the Dorset Care Record can be accessed by pharmacy contractors.

Contractors may opt to access a LHCR record as an alternative to SCR access for relevant scenarios. However, even for contractors which opt to use LHCR as much as possible instead of SCR, SCR is a useful back-up e. in case the LHCR system experiences a technical outage. Consistent access to SCR is required as described above.

As these events finished in mid-February, a new process will be announced in the coming months for those who have not been to an event and plan to go live with SCR. Community Pharmacy England will issue news once the new process is confirmed. There is a checklist of items to complete at cpe.

Also read more on the NHS Digital implementation guidance document. As a relief pharmacist within a multiple organisation who is the person that should provide my face-to-face training briefing event and how should I get my Smartcard SCR-enabled? Your pharmacy superintendent will be able to advise on how your organisation is going live with SCR and how you can get your Smartcard activated for SCR.

Smartcards require adjustment to enable SCR — although this should be able to be done remotely. What is the process for locum staff with the 5F Smartcard wishing to gain SCR access onto that Smartcard? What if there is delay? There will be a process for locum users to be able to access SCR.

The locum Smartcard 5F may be used, frequently this may be provided where the staff member works at 5 or more pharmacies at short notice.

In addition locum staff can then also add many regular premises to their Smartcard so that they can log-in using those rather than the generic F code. Where is the SCR Acceptable Use Agreement AUA for me to sign?

What are the steps needed to sign this? You may contact your SCR Implementation Manager for further advice based on where you are located contact information at end of this document. Can SCR be accessed from any standalone computer using a Smartcard reader? SCR can be accessed on a pharmacy PMR system that is on the N3 network e.

pharmacy computer in the pharmacy. It cannot be accessed from home on a laptop. It can only be accessed on the N3 network with access via a Smartcard.

If you have another PMR system terminal in another location in your pharmacy and if it is connected to N3 network and has a Smartcard reader, you can access SCR. Only Pharmacy technicians that are registered with General Pharmaceutical Council GPhC can access SCR.

Initially, only the regulated roles by GPhC e. pharmacist and pharmacy technician can access SCR. The SCR team is exploring how other types of pharmacy team members could have access to SCR e.

pre-reg, dispenser. All registered technicians that require access to SCR must complete the CPPE SCR eLearning module. You can use these test patient NHS numbers to practice SCR access and become familiar with the process: , , , What is the website address that we need to use to access SCR?

Will our chosen pharmacy system supplier have compatibility with SCR? Your pharmacy system supplier needs to allow access to Internet Explorer on web browser for SCR access see cpe. Is there a step-by-step guide on using SCR and finding the necessary information on the system?

If I have a query with a repeat prescription patient, given the patient will not be on-site, can I phone the patient to gain consent? SCR can only be accessed if you have consent from the patient e.

in person or over the phone. But for repeat patients you can have a one-off consent conversation which provides access consent for 12 months. You should record this permission in PMR patient notes field for the patient.

For information on emergency access see the question immediately below. Some pharmacies use SCR frequently each day.

The person auditing usage may check a proportion and that there is a patient, but should not need to check the clinical determination. Summary Care Records are created and maintained by GP practices. Records are then maintained automatically, whenever there is a relevant change to the patients practice record and the user has logged on with their smartcard.

GP practices also have the capability to access and view SCRs for any non-registered patients including emergency and temporary patients. As soon as a practice starts creating SCRs they are considered to be live with SCR.

Any patient that is either seen at the practice, or whose information on their local record is updated, will have their SCR updated through the creation of a GP Summary Update. How is the SCR updated? Is there a requirement for GP practices to update the SCR? Practices were required to implement this requirement as soon as possible after 1 April and should, by 30 September , have published a statement of intent at the practice premises and on the website where applicable to achieve the requirement by 31 March The requirement is on the basis of the current definition of the SCR i.

the core SCR record contains medications, allergies and adverse reactions and is uploaded on the basis of implied patient consent. Additional information can only be uploaded with explicit patient consent and should be information required to support patient care in an emergency or urgent situation.

The SPL was a record of vulnerable patients thought to be at high risk of complications from coronavirus COVID An updated NHS SPL was generated weekly by NHS Digital, incorporating additional patient data provided by acute trusts, GP practices and other data sources.

This enabled community pharmacy teams using the SCRa application to see an alert when viewing the SCR of such a patient. The Shielded Patient Flag went live from April Following the government announcement in September regarding the end of national shielding in England, the SPL for England closed and changes to patient risk status stopped being applied.

Information contained in the SPL was last updated at the end of September As of November , NHS Digital planned to undertake a managed closure of the SPL during late and early and planned to issue further communications later. Following the end of shielding, NHS Digital has been instructed by Department of Health and Social Care and Joint Committee on Vaccination and Immunisation JCVI to change the high-risk flags in medical records, associated with previously clinically extremely vulnerable CEV patients, to a moderate or low-risk flag.

This is part of a managed closure of the List. As part of this, an engagement exercise took place with those who had used SPF to fully understand any continuing or additional use cases of the SPL.

The aim of the engagement was to minimise the impact of closing the list on local services. NHS Digital engaged with a range of audiences including Community Pharmacy IT Group CP ITG , hospital trusts, local authorities, mental health providers, and GP IT suppliers.

Further info. If you have queries on this webpage or you require more information please contact it cpe. To share and hear views about digital developments with like-minded pharmacy team members, join the CP Digital email group today.

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The NHS website. Technology and workflows. Back to page. Summary Care Record SCR Published on: 10th May Updated on: 2nd February The new NCRS portal updated April NCRS enables view of SCR information but additionally view of: Personal Demographics Service National Record Locator NRL Locally held care plans can also be included Reasonable Adjustments Flag RAF Information within NCRS is consumable by IT system suppliers.

It is important that RAs keep a log of users given this access for exceptional reasons so that it can be revoked as appropriate at some point in the future. Those pharmacy team members with the pharmacist and 5F codes on their card were granted SCR rights associated with the 5F code for at least one year.

This bulk adjustment performed by NHS Digital meant that if the staff used the 5F at various pharmacy premises, they could still access SCR information. The new Smartcard code is planned to automatically expire after one year.

This activity was performed centrally so that no action should have been required by pharmacy team members or local RAs. This is recognising that newly qualified pharmacists are experiencing delays converting from pre-registered to fully registered with the General Pharmaceutical Council GPhC because they are unable to sit assessments with the GPhC.

NHS Digital is helping to progress these applications and has issued guidance for RAs. The NHS Digital central Smartcard team issue policy and guidance for use by the RAs.

Framework for use before the COVID pandemic Patients confirm their consent by requesting that their GP practice activates SCR with AI for them so that other health and care workers such as their pharmacist may have ability to have sight of that information when needed.

Local campaigns Within some areas, local stakeholders may support campaigns for patients and health and care workers to be able to make greater use of SCR with Additional Information and be aware of its benefits.

Pharmacy usage of SCR and SCR with AI Pharmacy teams are encouraged to make use of SCR and SCR with Additional Information where available to enhance the care they can provide for their patients e.

A screenshot example of SCR with Additional Information can be seen below: See also: SCR additional information NHS Digital Patient leaflet regarding additional information.

Additional Information within SCR Patients may request to their GP practice that the practice adds other useful content beyond the core data set.

These are details of: fertility treatment; sexually transmitted infections and treatments; terminations; and gender reassignment. SCR access checklist The process for community pharmacy contractors and pharmacists and pharmacy technicians to use SCR is set out at the SCR checklist.

The FAQs were really useful and answered very professionally from someone who really knew every aspect of SCR. CPPE online training All pharmacists and pharmacy technicians who will access the SCR must have completed the Centre for Pharmacy Postgraduate Education online SCR training and assessment module prior to accessing the SCR.

Practising helps staff for when real usage is needed. NHS Digital have published leaflets to assist pharmacies: Logging on and searching for a patient GemAuthenticate Logging on and searching for a patient Identity Agent 2 NHS number is used where known, some pharmacy teams obtain this using their EPS module or PMR, and paste this into the SCR application.

When to use SCR Pharmacy teams report that the SCR can be used as an alternative to contacting the GP practice in some scenarios. Will SCR allow me to check whether a prescription is eRD? Will locums using SCR have their accesses associated with our pharmacy?

Accessing SCR information The SCR might be accessed in different ways such as: The standalone web viewer SCR application known as the SCRa : This does not require any additional software. Integrated viewer: May be developed by system suppliers to allow users to view the SCR within their existing clinical system.

SCR 1-click available within Sonar and PharmOutcomes from Pharmacists and technicians can access vital patient information quickly through the Summary Care Record SCR 1-click feature that is available within the PharmOutcomes and Sonar systems. Delivery plan to be confirmed. ProScript systems EMIS tbc tbc ProScript LINK AAH Pharmaceuticals tbc tbc RxWeb Clanwilliam Health tbc tbc Sonar Sonar 1-click feature present for certain service modules Currently scheduled to go live with after being accredited in Mid System Supplier status updates: If you are a pharmacy system supplier that is developing or currently supplying an SCR enabled PMR System to the English market and would like your name added to this list please contact Community Pharmacy England.

Why the pharmacy will access their record e. How often will the pharmacy access? You can ask for a one-time access or could ask them for permission to view their SCR while they are in your care.

If you are registered with a GP practice in England, you will already have an SCR unless you have previously chosen not to have one. It also includes your name, address, date of birth and unique NHS Number which helps to identify you correctly.

You can now choose to include more information in your SCR, such as significant medical history past and present , information about management of long term conditions, immunisations and patient preferences such as end of life care information, particular care needs and communication preferences.

If you would like to do this, talk to your GP practice as it can only be added with your permission. Remember, you can change your mind about your SCR at any time. Talk to your GP practice if you want to discuss your option to add more information or decide you no longer want an SCR.

Having an SCR that includes extra information can be of particular benefit to patients with detailed and complex health problems. If you are a carer for someone and believe that this may benefit them, you could discuss it with them and their GP practice.

Only authorised care professional staff in England who are involved in your direct care can have access to your SCR. Your SCR will not be used for any other purposes.

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Author: Yozshusar

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