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Medical Care



Summary Care Records A QUICK REFERENCE GUIDE What is a Summary Care Record? When should I use the SCR? The Summary Care Record (SCR) is a ‘read only' electronic patient summary containing key clinical When dispensing an Times when you would information. It has been created with information emergency supply (at the want to ask the GP practice request of the patient) for medicines/allergies/ held by a patient's GP practice and is updated to verify the name, form, whenever there is relevant change. strength and dose of reaction inforamtion As a minimum the SCR contains: medicine previously had by • Medicines: Acute, repeat and discontinued repeat items (discontinued items will be During a medicines use dependent upon the GP system which Supporting self-care review (MUR) to verify and for public health compare medicines currently being prescribed and their allergy status, where this healthy lifestyles is not already known • Adverse reactions Other information may also be available on a SCR, such as diagnoses, test results etc.
When supplying medicines under a locally commissioned service, eg supply of ".An effective flow of information between medicines on NHS Patient New Medicine Service professionals is vital to ensuring safer, more Group Direction (PGD), coordinated and more person-centred care" during minor ailments Jeremy Taylor, CEO, National Voices consultations (MAS) Community Pharmacy: Background Case Study: Wicker pharmacy, Sheffield SCR has been used by pharmacy professionals "A gentleman was visiting his family in Sheffield for medicines reconciliation in hospital in recent last Christmas. He visited the pharmacy requesting years. For community pharmacy, "proof of an emergency supply after leaving his "chest concept" (POC) projects were conducted to spray" at home. He had originally contacted determine the viability of SCR, this took place the GP out of hours service, but was advised of across the country. a long wait, so was signposted to a pharmacy. The POC demonstrated that: The pharmacist was lead to believe that the item required was a Ventolin inhaler even after SCR viewing can be implemented in discussing this with the patient.
community pharmacies and adds value to patient care The patient didn't have an empty box or repeat • Providing community pharmacies with access prescription order slip, his usual GP was closed to the SCR has the potential to support the and we had no dispensing history for him. The increasing demands on the wider healthcare pharmacist accessed the SCR and was able to confirm that the gentleman was prescribed GTN spray for angina, and make an emergency supply." "SCR has been a valuable addition to us in the pharmacy setting. It has enabled us to quickly establish information about prescriptions which may "We have used SCR for the last 18 months and it otherwise have been impracticable to obtain. Having has proved extremely beneficial to us, especially as had access to SCR data during the pilot, it would be an additional tool to help and support pharmacists a great loss to us and our patients if we were to lose repsond to requests for emergency supplies of this beneficial service." medication and other episodes of unscheduled care. Andrew Stenson, Finedon Pharmacy Many patients have benefited from us having access - resulting in more convenient and efficient care." James Woods, Superintendent Pharmacist/Director Wicker Pharmacy, Sheffield How to access the SCR? 1. Make sure you have requested and had the correct Role Based Access Control (RBAC) If you are experiencing technical difficulties and can't added to your smartcard profile access SCR, please contact: 2. Make sure the CPPE online SCR training has • Your local project contact • Your usual IT helpdesk 3. Make sure you know who your Information • National SCR programme Governance/Privacy Officer is and their contact details and any associated process "We would like to see the NHS make better use of requirements specific to SCR pharmacists' skills by enabling patients to share their 4. Make sure you are aware of your pharmacies electronic health record with pharmacists" SOPs regarding SCR access Maureen Baker Chair RCGP Ensure you are logged in with your own smartcard Benefits to practice Summary Care Record". It is advisable to • Reducing prescribing errors save this to your desktop or favourites • Reducing patient harm and therefore reducing 7. Search for the patient, ideally using NHS hospital admissions number but if this is not yet known, using • Ensuring medication that is clinically surname, DOB, postcode etc appropriate is given to the patient 8. Select the right patient • Better understanding of patient health 9. Record permission to view REMEMBER: Locum pharmacists logged
• Reducing the number and duration of phone on with the locum ODS code (FFFFF) calls to the prescriber must ALWAYS select the provide more information about the access (optional) • Reducing assessment time link and enter the ODS code of the site or • Being able to access required clinical branch where the access is taking place into information instantly the box before clicking yes.
• Reduces the number of faxes for • Reducing patients need to visit another care Patient identifiable data used by pharmacists and pharmacy technicians, whether accessed from • Supply provided sooner national NHS care records or stored in local • Enhancing customer loyalty or networked systems is subject to relevant NHS IG requirements and also existing GPhC • Improving advice given about medication standards on patient confidentiality. These cover • Increasing confidence in the profession many aspects of good practice in information • Improving patient convenience management and security including prevention • Supporting seven day services of accidental disclosure, security of hardware and software, staff training, management of critical incidents and various others. "Access to the SCR is essential for the development of effective clinical services in community pharmacy Only access records for patients to whom you and makes a real difference to the quality of care we have a legitimate clinical need can provide." • Only access records with informed, explicit consent. This is usually verbal but can be President Royal Pharmaceutical Society written consent - written consent may be agreed locally but is not necessary • Remember to record the patient and associated advice/action on PMR • Only access SCR when logged on with your • Only use emergency access when required for the patient's best interest Revised September 2015 Copyright Royal Pharmaceutical Society 2015


Early days in drug discovery by crystallography - personal recollections

Acta Crystallographica Section A Early days in drug discovery by crystallography – personal recollections Received 10 December 2012 Accepted 11 December 2012 The Walter and Eliza Hall Institute of Medical Research, 1G Royal Parade, Parkville, Victoria, Australia. Correspondence e-mail: The influences of Lawrence Bragg and Max Perutz are evident in thecontemporary emphasis on ‘structural enablement' in drug discovery. Onthis occasion of the centenary of Bragg's equation, his role in supporting theearliest structural studies of biological materials at the Cavendish Laboratory isremembered. The 1962 Nobel Prizes for the structures of DNA and proteinsmarked the golden anniversary of the von Laue and Bragg discoveries.

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