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MediTech Solutions » Clinical Data Summarisation » NHS CRS

Clinical Data Summarisation

NHS Summary Care Records

Quality Assurance

Patient Data Confidentiality

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NHS Summary Care Records

Information that's readily available to the right people at the right time, enabling them to act quickly, safely and decisively is critical in the new patient-centric NHS environment.
The healthcare industry is undergoing unprecedented changes where patients' medical data and other health information would play a very significant role in providing better healthcare services to the patients. As a result, the way health records are being stored and managed is changing too.

Current Dilemma

Patients are likely to be treated by a variety of care professionals in a range of locations throughout their lifetime. Each doctor will keep a separate medical record focusing on the most recent encounter with the patient. Currently, these pieces of vital medical information cannot be shared easily amongst different hospitals, GP surgeries or Social Caretakers nationwide as the computers/networks in different NHS buildings are not inter-connected and hence cannot communicate with each other. Hence, separate records containing vital information about patients’ medical care exist in several different places.

Looking towards the future

In an effort to deliver better and informed patient care, the new information driven NHS has introduced NHS Care Records Service to create Summary Care Records. NHS CRS is aimed to provide solutions to issues that have dogged NHS for ages : ‘Vital health information existing in several disparate locations’.

This new NHS setup would effectively link various disparate NHS organisations to create a true and connected national health service. The Summary Care Record is an electronic record, which will include vital information from all disparate sources where you might have received care in the past, giving healthcare staff faster, easier and secure access to essential information about the patient, to help take informed decisions and provide safe treatments when needing care in:

  1. An acute emergency
  2. Out-of-hours when the registered GP practice is closed or
  3. While being away from home in another part of England.

NHS CRS aims to issue electronic NHS Care record to all the NHS patients and put them on a centralised patient record database to enable easy information sharing between GP surgeries and hospitals nationwide. This new NHS setup would effectively link various disparate NHS organisations to create a true national health service. But this can only be achieved by replacing the current patchwork of paper records with Electronic Patient Records (EPR) for each of England's 50 million patients and storing all these medical records and associated data centrally.

For more information about the Summary Care Record, visit the NHS Care Records Service website.


The introduction of NHS CRS is changing the way Patient Information and Health Records are recorded, maintained and stored. It is therefore imperative for all GP Surgeries to have fully summarised and up-to-date patient records if they are to enjoy the advantages of the new NHS 'Electronically Connected' environment.

But patient records are currently held as a mixture of paper-based and electronic computer records at most of the GP Practices because either the GP surgery still continues to operate in a 'paper-based' environment or  the  practice has started scanning all the new patients’ paper correspondence but still has a huge backlog of paper patient records.

Whatever be the situation, we can help you to gradually moving into the 'paper-light' environment, eventually aiming to be in 'paperless' working environment.!!

 Having fully summarised patient records would not only unleash the operational benefits for the GPs but would also help in maximising the surgery's profits as well by achieving your QOF Targets  under the Quality Management and Analysis System (QMAS), making your practice a lucrative, high achieving practice. It is this system which measures the quality of the care provided by the GP surgeries and financially reward the high performing practices accordingly.

But time is fast running out for GP surgeries for creating fully summarised clinical notes.
The potential benefits of Electronic Health Records and Summary Care Records are so compelling that politicians and governments are pushing strongly for their adoption. The Department of Health (DH) have set an ambitious deadline for the completion of data summarisation and adoption of NHS CRS by GP Surgeries.

In-House Solution: A Viable Solution or False Economy?
Surgeries looking to take this humongous and overwhelming task themselves are fighting a loosing battle because of the huge costs associated, strict timeframes and limited resources available to achieve their targets in time.

The most common practice adopted by some surgeries is hiring medical students or medical secretaries on a part time basis to perform this daunting task. Although these might seem to be the easiest and cheapest option, but are actually false economy as using inexperienced summarisers can result in poor quality and excessive time consumption due to their lack of experience and knowledge of medicine. To find out more, please see our FAQ section(Q12) . The other option is for the doctors from the surgery to take turns and miss a session each to devote it solely to summarising the patient records. This is surely a waste of the GP's valuable time, which could be put to much better use in providing patient care.

Using either of these ways, most of the GP surgeries and other healthcare institutions are lagging far behind in their targets and are struggling to meet the deadlines for completing the task of making available fully comprehensive medical history.


The Department of Health and Government’s White Paper, Equality and Excellence: Liberating the NHS, published on 12 July, set out proposals for putting local consortia of GP practices in charge of commissioning services to best meet the needs of local people, supported by an independent NHS Commissioning Board.

As a result, the primary responsibility along with the commissioning decisions for Maintenance and support of Patient Records and Data Management will now be made by consortia of GP practices, restoring the real-decision making powers to GPs and patients.

Shared support services customised for GP Consortia

As dictated by NHS Commissioning Board, the GP Consortiums are fully accountable and hence when it comes to planning strategies for Clinical Data Summarisation, GP Consortiums cannot detach themselves from their member practices. It is their role to ensure that the guidelines for Patient Records and Data Management set by the Department of Health (DH) and NHS, get implemented in all the surgeries in their jurisdiction and/or catchment areas. Hence, data summarisation is as much the responsibility of the GP Consortiums as it is that of the individual GP surgery.

MediTech Solutions can assist GP Consortiums to deliver the highest standards of performance and clinical governance right across their boundary.

We have worked hard to bring many of our services together specifically for GP Consortia to enable them to satisfy these priorities and responsibilities. We have broken down the key elements and created a Clinical Summarisation package especially custom build for GP Consortiums to help them achieve their targets.

Our ability to handle high volumes of data transformation projects means that we are very much capable of liaising directly with the PCTs to help them to deliver the fully integrated, accurate Electronic Patient Records for all of their member practices at a very reasonable price. We can provide complete and consistent clinical coding (Read, or ICD-9 or ICD-10 or SNOMED) right across the PCT, making the life of our client PCT much simplear and easier.


We guarantee highly competitive prices, which offers huge cost savings to PCTs. We guarantee that we would prove to be cheaper when carrying out this otherwise highly expensive and resource consuming task by any other means.

We would be more than happy to answer any of your queries. Contact us today and we'll help you to deliver complete paperless working environment, hence having happier and satisfied GPs under you.


Data entry, capture, conversion and encoding are daunting, immense and time-consuming tasks for NHS hospitals Trusts of all types and sizes.

The adoption and implementation of Summary Care Records in Secondary Care has been very staggered and much slower than originally envisioned. But despite considerable delays and frustrations, support for electronic health records remains strong, including from NHS clinicians. The potential benefits of Electronic Health Records and Summary Care Records are so compelling that politicians and governments are pushing strongly for their adoption. The Department of Health (DH) have set an ambitious deadline for the completion of data summarisation and adoption of NHS CRS right across the NHS.

It is now clearly evident that summarisation of patients’ clinical data in order to deliver NHS Summary Care Records across Secondary Care is a long, complex and daunting iterative process requiring huge resources and an impeccable implementation strategy.

This will push decision making much closer to patients and local communities and ensure that commissioners are accountable to them."
Commissioning for patients says that in 2011-12 a "comprehensive system" of shadow GP consortia will be in place and a year later GP consortia will be formally established, together with responsibility to prepare commissioning plans. The NHS Commissioning Board will be established as an independent statutory body.

By 2013-14 GP consortia will be fully operational with "real budgets" and holding contracts with suppliers of ICT and other services.

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