A 'significant minority' of GPs are refusing to participate in the summary care record (SCR) programme, say researchers.

This is another example of mass scale assumed consent, which is dangerous and probably infringes several pieces of legislation. Add to this automatic opt-in for Electronic Px's, organ donation and the national spine.

 There is a right of refusal to have a SRC - and patients in the pilots were supposed to be informed of the SCR and their options explained.

When a practice moves to a system which is planned to be shared with organisations outside the practice (a Single Shared EPR - SSEPR - such as CSC/TPP SystmOne and Lorenzo level 4) is installed, what are the mechanisms for informing the patients affected, and is it possible to have patient optout - whether of having a shared record or of allowing access - in a SSEPR or Detailed Care Record when that DCR is a SSEPR - the Lorenzo model? 

Dates given on messages now seem to have adopted the American system - Why? It is confusing.

Why can we not continue to use the British system- is the American superior or is it that we have to copy everything they do ?

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