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. To learn about viewing an SCR, see View Summary Care Records SCR To learn about the benefits of using SCR in community pharmacies, see Summary Care Record in community pharmacies.

Security and the SCR 1. Data within the SCR is protected by secure technology. ARTICLE SCR patient consent preference form Download a form to opt out of having a Summary Care Record SCR or opt out of additional information being included in the SCR.

Examples of use Using SCR with additional information to help treat an elderly patient out of hours A GP was asked to triage an elderly patient late one evening. The patient had been diagnosed and had been prescribed medication earlier in the day.

The patient was concerned that they may be allergic to the medication. The GP was able to access the patients SCR which highlighted that previous medication had made the patient nauseated and confused, and that she was allergic to penicillin.

However, as this was an SCR that included additional information, the GP was also able to establish that the patient had a complex medical history and had been prescribed cefradine previously, without any apparent ill effect.

The GP was therefore able to successfully reassure the patient to continue with their medication. Using SCR with additional information to provide continuity of care to a new patient A GP saw a 45 year old man who was new to the practice and presented requesting a prescription for medication he had been taking for hypertension.

SCRs are used successfully in many care settings across the NHS, including accident and emergency departments, out-of-hours services and hospital pharmacies. Community pharmacists and designated members of the pharmacy team can now, with patient consent, access an SCR for patients.

SCR access in community pharmacy has demonstrated benefits to patients by enabling access to more information so pharmacists and pharmacy technicians can provide a safer, more efficient and better-informed service for those patients who require it.

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. 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. Care professionals will ask for your permission if they need to look at your SCR.

Registered Manager With NMC — High Wycombe at Elderly Services. Registered Manager With NMC — Bisham at Elderly Services. Registered Manager — Norwich at Elderly Services.

Registered Manager — Residential Care Norwich £35, — £45, I am recruiting for an experienced and quality focused Registered Manager.

I just wish to take this opportunity to thank Heather for the patience and service going over and above her duties in helping me with the application forms for the vacancy for residential care with the YMCA. Heather guided me through the necessary forms, she was always available when needed and I have to say a credit to your company.

Losing your job is a daunting experience but the team at SCR made me feel confident in their abilities to find me work. I spoke with a consultant and found myself with opportunities presented to me in a well informed and professional manner — this allowed me to choose which roles were right for me and attend interviews confident in my understanding of the roles and companies.

SCR had me in new employment in next to no time, I would highly recommend! SCR have been supplying Creative Support for the past 7 years, and in that time, we have built up a fantastic working relationship.

The standard of service and the standard of the workers provided has always been exemplary. I cannot speak highly enough of SCR!

Joe and his team at SCR have always delivered, they are reliable and trustworthy, communication is excellent undertaking requests at short notice and delivering some first class candidates who we have secured employment with, seen grow and develop their careers with us.

Great working relationship and highly recommended. We were looking for an agency to put forward a candidate to meet our requirements. Jareth from SCR sent us the right people to fit the role perfectly, no fuss, no promises, the right person for the right role.

The follow up for both us and the employee was effective and to the point. Recruitment is difficult, and retention harder, but the first process was made easier by dealing with SCR. I have recently been in contact with Jareth Lang regarding a job role. Nothing was too much trouble for him. I just wanted to drop you a line and tell you how helpful and supportive Ellie has been during my journey with her.

Ellie is bubbly and enthusiastic and is the most responsive person I have dealt with in this field. You have been so professional and supportive and nothing has been too much trouble. The advice you have given me has been extremely helpful, and so I am delighted that I have been offered the Job!

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.

These poisons are alkali metals , alkaline earth metals , halogens , phosphorus , sulfur , arsenic , antimony , chromium , heavy metals copper , cadmium , mercury , thallium , and lead , and many heavy metal compounds e.

oxides and halides. Most SCRs require tuning to properly perform. Part of tuning involves ensuring a proper distribution of ammonia in the gas stream and uniform gas velocity through the catalyst. Without tuning, SCRs can exhibit inefficient NOx reduction along with excessive ammonia slip due to not utilizing the catalyst surface area effectively.

Another facet of tuning involves determining the proper ammonia flow for all process conditions. Ammonia flow is in general controlled based on NOx measurements taken from the gas stream or preexisting performance curves from an engine manufacturer in the case of gas turbines and reciprocating engines.

Typically, all future operating conditions must be known beforehand to properly design and tune an SCR system.

Ammonia slip is an industry term for ammonia passing through the SCR unreacted. This occurs when ammonia is injected in excess, temperatures are too low for ammonia to react, or the catalyst has been poisoned. In applications using both SCR and an alkaline scrubber, the use of high-sulfur fuels also tend to significantly increase ammonia slip, since compounds such as NaOH and Ca OH 2 will reduce ammonium sulfate and ammonium bisulfate back into ammonia:.

Temperature is SCR's largest limitation. Engines all have a period during start-up where exhaust temperatures are too low, and the catalyst must be pre-heated for the desired NOx reduction to occur when an engine is first started, especially in cold climates.

In power stations , the same basic technology is employed for removal of NO x from the flue gas of boilers used in power generation and industry.

In general, the SCR unit is located between the furnace economizer and the air heater, and the ammonia is injected into the catalyst chamber through an ammonia injection grid. As in other SCR applications, the temperature of operation is critical.

Ammonia slip unreacted ammonia is also an issue with SCR technology used in power plants. A significant operational difficulty in coal -fired boilers is the binding of the catalyst by fly ash from the fuel combustion.

This requires the usage of sootblowers , ultrasonic horns, and careful design of the ductwork and catalyst materials to avoid plugging by the fly ash. SCR catalysts have a typical operational lifetime of about 16, — 40, hours 1. Poisons , sulfur compounds , and fly ash can all be removed by installing scrubbers before the SCR system to increase the life of the catalyst , though in most power plants and marine engines, scrubbers are installed after the system to maximize the SCR system's effectiveness.

SCR was applied to trucks by Nissan Diesel Corporation , and the first practical product " Nissan Diesel Quon " was introduced in in Japan. In , the United States Environmental Protection Agency EPA enacted requirements to significantly reduce harmful exhaust emissions.

To achieve this standard, Cummins and other diesel engine manufacturers developed an aftertreatment system that includes the use of a diesel particulate filter DPF.

As the DPF does not function with low-sulfur diesel fuel, diesel engines that conform to EPA emissions standards require ultra-low sulfur diesel fuel ULSD to prevent damage to the DPF. After a brief transition period, ULSD fuel became common at fuel pumps in the United States and Canada.

The EPA regulations were meant to be an interim solution to allow manufacturers time to prepare for the more stringent EPA regulations, which reduced NOx levels even further.