The following information is included in a SCR entry:
- The name, address, date of birth and NHS number of the patient
- All known allergies
- All known adverse drug reactions
- All medicines in the following groups:
- Acute medicines (12 months’ history)
- Current repeat medicines (18 months’ history)
- Discontinued repeat medicines (six months’ history).
Additional information
Patients can also consent to including additional information in their SCR. This is particularly useful for people with complex or long-term conditions, or patients reaching end of life. Once a patient consents, this can be added by the GP by simply changing the consent status on the clinical system. Additional information can include:
- Diagnosis and/or details of long-term conditions
- Specific communication needs
- Immunisations
- Details of carer
- Care preferences.