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Summary Care Record

summary care record

Your emergency care summary

Dear Patient

Summary Care Record – your emergency care summary

The NHS in England is introducing the Summary Care Record, which will be used in emergency care.

The record will contain information about any medicines you are taking, allergies you suffer from and any bad

reactions to medicines you have had to ensure those caring for you have enough information to treat you

safely. Also, if you specifically choose to do so, your Summary Care Record can hold other information you have agreed with your GP practice to have included.

Your Summary Care Record will be available to authorised healthcare staff providing your care anywhere in England, but they will ask your permission before they look at it. This means that if you have an accident orbecome ill, the doctors treating you will have immediate access to important information about your health.

Your GP practice is supporting Summary Care Records and as a patient you have a choice:

YES I would like a Summary Care Record containing details of my medications, allergies and any bad reactions to medications I have had

YES I would like a Summary Care Record containing details of my medications, allergies and any bad reactions to medications I have had AND any other information that I have agreed with my GP practice to have included in my Summary Care Records

NO I do not want a Summary Care Record

If you know that a Summary Care Record was created for you by your previous GP practice, we would still begrateful if you could complete this form to confirm your current choice.

For more information talk to our Patient Advice and Liaison Service (PALS) (0800 587 4132), GP practice staff or visit the website

Additional copies of the opt out form can be collected from the GP practice or printed from the website

You can choose not to have a Summary Care Record and you can change your mind at any time by informing your GP practice.

Children under 16 will automatically have a Summary Care Record containing details of medications, allergies and bad reactions created for them unless their parent or guardian chooses either to notify us that they would like their child to have an enriched Summary Care Record (with other information agreed with the GP practice to be included) or to opt them out. If you are the parent or guardian of a child under 16 and feel that they are old enough to understand, then you should make this information available to them.

Please return this form to the practice

pdfConsent Form

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