Patient Record

Emergency Care Summary

There is a Central NHS Computer System called the Emergency Care Summary (ECS). The Emergency Care Summary is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. It will contain information on your medications and allergies.

Your information will be extracted from practices such as ours and held securely on central NHS databases.   

As with all systems there are pros and cons to think about. When you speak to an emergency doctor you might overlook something that is important and if they have access to your medical record it might avoid mistakes or problems, although even then, you should be asked to give your consent each time a member of NHS Staff wishes to access your record, unless you are medically unable to do so.

On the other hand, you may have strong views about sharing your personal information and wish to keep your information at the level of this practice. If you don’t want an Emergency Care Summary to be made for you, tell your GP surgery. Don’t forget that if you do have an Emergency Care Summary, you will be asked if staff can look at it every time they need to. You don’t have to agree to this.

Sharing Your Medical Record

Increasingly, patient medical data is shared e.g. between GP surgeries and District Nursing, in order to give clinicians access to the most up to date information when attending patients.

The systems we operate require that any sharing of medical information is consented to by patients beforehand. Patients must consent to sharing of the data held by a health provider out to other health providers and must also consent to which of the other providers can access their data.

e.g. it may be necessary to share data held in GP practices with district nurses but the local podiatry department would not need to see it to undertake their work. In this case, patients would allow the surgery to share their data, they would allow the district nurses to access it but they would not allow access by the podiatry department. In this way access to patient data is under patients' control and can be shared on a 'need to know' basis.

Oxfordshire Care Summary and Summary Care Record - The Differences

  Oxfordshire Care Summary  Summary Care Record
Shared
  • Accross Oxfordshire
  • Accross health care Settings, including urgent care, community care and outpatient departments
  • With GP's and with clinicians employed by Oxford Health NHS Foundation Trust and Oxford University Hospitals Trust
  • Accross England
  • Accross health care settings, including urgent care and outpatient departments
  • With GP's and clinicians employed by any  NHS Trust or organisation involved with your care accross England.
Information Source
  • GP record
  • Other medical records held by different NHS organisations in Oxfordshire
  • GP record
Content
  • Your current medications
  • Any allergies you have
  • Any bad reactions you have had to medicines
  • Your medical history and diagnoses
  • Test results and X-ray reports 
  • Your vaccination history
  • General health readings such as blood pressure
  • Your appointments, hospital admission, GP out of hours attendances and ambulance calls
  • Care/management plans 
  • Correspondence such as referral letters and discharge summaries
  • Your current medications
  • Any allergies you have
  • Any bad reactions you have had to medicines

** Additional information includes:

  • significant problems (past and present)
  • Significant procedures (past and present)
  • Anticipatory care information 
  • End of life care information - as per EOLC dataset ISB 1580
  • Immunisations

Further information can be added (upon request to your GP)

For more information visit Oxfordshire Care Summary (oxfordshireccg.nhs.uk)

Summary Care Record (oxfordshireccg.nhs.uk)

Oxfordshire Care Summary (oxfordshireccg.nhs.uk)