If you are registered with a GP practice in England you will have a Summary Care
Record (SCR), unless you have previously chosen not to have one. It includes
important information about your health:
• Medicines you are taking
• Allergies you suffer from
• Any bad reactions to medicines
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 an SCR
means that when you need healthcare you can be helped to recall vital information.
SCRs can help the staff involved in your care make better and safer decisions about
how best to treat you.
You can choose to have additional information included in your SCR, which can
enhance the care you receive. This information includes:
• Your 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
• Who should be contacted for more information about you
What to do next
If you would like this information adding to your SCR (or the SCR of someone you
are a carer for), then please complete this form and return this to the practice.
Name of Patient: ………………………………………………..
Date of Birth: ……………………………. Patient’s Postcode: ………………………….
Surgery Name: ………………………….. Surgery Location (Town): ……………………..
NHS Number (if known): …………………………..
Signature: …………………………………………….. Date: ……………………………….
If you are filling out this 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: …………………………………………………………………………………………………………..
Capacity:
Please circle one
Parent Legal Guardian Lasting power of attorney for health and welfare
If you require any more information, please visit http://www.hscic.gov.uk/scr/patient
phone HSCIC on 0300 303 5678 or speak to your GP Practice