Lincoln House Surgery

Lincoln House Surgery

163 London Road, Apsley, Hemel Hempstead, HP3 9SQ

Current time is 05:14 - Sorry, we're currently closed. Please call NHS 111

NHS

Telephone: 01442 254 366

When the practice is closed please dial 111 For emergencies dial 999

Breaking News: FLU CLINICS update: Limited appointments left for Saturday 25th September. More appointments added mid-week but they are filling fast. Book ASAP to avoid disappointment.  Click on the LINCOLN HOUSE SURGERY 2021 section on the blue banner (or menu if you are on a mobile device) for more information. 

Summary Care Record

Information for new patients: about your Summary Care Record

 If you are registered with a GP practice in England you will already have a Summary Care Record (SCR), unless you have previously chosen not to have one.  It will contain key information about the medicines you are taking, allergies you suffer from and any adverse reactions to medicines you have had in the past.

Information about your healthcare may not be routinely shared across different healthcare organisations and systems. You may need to be treated by health and care professionals that do not know your medical history. Essential details about your healthcare can be difficult to remember, particularly when you are unwell or have complex care needs.

Having a Summary Care Record can help by providing healthcare staff treating you with vital information from your health record. This will help the staff involved in your care make better and safer decisions about how best to treat you.

You have a choice

 You have the choice of what information you would like to share and with whom. Authorised healthcare staff can only view your SCR with your permission. The information shared will solely be used for the benefit of your care.

Your options are outlined below; please indicate your choice on the form overleaf.

  • Express consent for medication, allergies and adverse reactions only. You wish to share information about medication, allergies and adverse reactions only.
  • Express consent for medication, allergies, adverse reactions and additional information. You wish to share information about medication, allergies and adverse reactions and further medical information that includes: Your significant illnesses and health problems, operations and vaccinations you have had in the past, how you would like to be treated (such as where you would prefer to receive care), what support you might need and who should be contacted for more information about you.
  • Express dissent for Summary Care Record (opt out). Select this option, if you DO NOT want any information shared with other healthcare professionals involved in your care.

Please note that it is not compulsory for you to complete this consent form. If you choose not to complete this form, a Summary Care Record containing information about your medication, allergies and adverse reactions and additional further medical information will be created for you as described in point b) above.

The sharing of this additional information during the pandemic period will assist healthcare professionals involved in your direct care and has been directed via the Control of Patient Information (COPI) Covid-19 – Notice under Regulation 3(4) of the Health Service Control of Patient Information Regulations 2002.

You are free to change your decision at any time by informing your GP practice.

 If you require any more information, please visit http://digital.nhs.uk/scr/patients or phone NHS Digital on 0300 303 5678 or speak to your GP practice.

SCR (Summary Care Record)

SCR) patient consent form

Having read the information in the SCR section, please choose ONE of the options below. If you need any more information, you can visit wwww.digital.nhs.uk/summary-care-record/patients or call NHS digital on 0300 303 5678
Yes,- I would like a Summary Care Record
No - I would NOT like a Summary Care Record
Name(Required)
Date of birth(Required)
Address(Required)

Filling the form on behalf of onother person

If you are filling the form on behalf of another person, please ensure that you fill out THEIR details above; you sign the form above and provide your details below:
Name
ParentLegal GuardianLasting Power of Attorney for Health and Welfare

For GP Practice use ONLY

The patient wants a core Summary Care Record (express consent for medication, allergies and adverse reactions only) 9Ndm / XaXbYThe patient wants a Summary Care Record with core and additional information(express consent for medication, allergies and adverse reactions and additional information) 9Ndn / XaXbZThe patient does not want to have a Summary Care Record (express dissent for Summary Care Record - opt out) 9Ndo / XaXj6
This field is for validation purposes and should be left unchanged.