PRSB has discovered a potential problem with the PRSB viewer and JSON files for this standard and they may have minor differences to the originally published version. The Excel version is correct. We are continuing to investigate to understand which standards are affected and decide what action is needed to address and resolve the situation. If you have any concerns, please contact us at support@theprsb.org or via PRSB support services.
Care Homes View of Shared Care Records
Improving information sharing between health and social care is critical to professionals who care for people and the health and wellbeing of people themselves. The care homes view is the information from health (primary, secondary or community care) that care home staff should see in a shared care record.
Current release
Version: V1.1 | |
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Release date | 29 April 2021 |
Release notes | 
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Next release date | TBA |
Next release type | Scheduled release |
The standard | |
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Full standard – PRSB viewer | Open web viewer |
Full standard – Excel | Download file (xlsx) |
Full standard – Json | Publishing soon |
Supporting documentation | Description/purpose |
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Information standards notice (ISN) – not applied for | ISNs are published to announce new or changes to information standards published under section 250 of the Health and Social Care Act 2012. |
| This document includes general implementation guidance for all PRSB standards and detailed guidance, specific to this standard. |
 | Rules for implementation of the standard. |
 | Describes the purpose, methodolgy and stakeholder engagement for developing the standard, along with the findings and recommendations for further work. |
| Appendices to final report |
| Summarises the hazards which could result from implementing the standard. |
| Details the potential hazards from implementing the standard with their risk rating and mitigation. |
Provenance data | Defines the information on who made a record entry and who carried out the activity, where and when. |
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- Online support form
- Support@theprsb.org
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About this standard
The Care Homes View of Shared Care records is a guidance information model that provides a view of the PRSB’s Core Information Standard for staff working in care homes with and without nursing. It ensures that timely and relevant information about a patient’s care and treatment is accessible to staff working in care homes including registered professionals and unregistered persons. This guidance information model includes details about a person including their About me record, care plans, medications, hospital admission and discharge details, and current and previous diagnoses. This project supports NHS England’s interoperability efforts.
Benefits:
- Enhances communication between health and social care and continuity of care.
- Ensures timely access by care home staff to a person’s relevant information.
- Supports integrated care across health and social care settings.
Scope
In scope
- a definition of the information from health and social care that residential and nursing homes need to see in a shared care record.
- two exemplar authorisation levels / ‘views’ for role-based access (RBAC) purposes within the care home setting were identified. These are discussed in the project materials but have not been validated for use. RBAC is the responsibility of the care home manager (nominated individual responsible for care home services).
- an information set that is readily interpretable by professionals in a variety of health and care settings and consistent with the PRSB Core Information Standard.
Out of scope
- defining information that residential and nursing homes might contribute to a shared care record or store in their own systems.
- use in domiciliary care, extra care or supported living.
- an exhaustive definition of all the items recorded by health and social care organisations in the UK that care homes may require to provide direct care.
How it works
The Care Homes View of Shared Care Records operates by ensuring that relevant information from health and social care that residential and nursing homes need to see is recorded and shared in a structured format as part of shared care records. This facilitates seamless communication and continuity of care across different health and care settings.
Below is a summary table of the guidance information model:
Open summary view table
| Section | Description | Conformance |
| Person demographics | Patient details and contact information. | Mandatory |
| GP practice | Details of the GP practice where the patient is registered. | Required |
| About me | Information that the person thinks it is important to share with professionals. | Required |
| Individual requirements | Individual requirements that a person has, e.g. communication, cultural, cognitive, mobility needs, and reasonable adjustments. | Required |
| Alerts | Any significant information meriting a specific and highly visible warning to any user. | Required |
| Legal information | Legal information captured relating to patient care, such as consent to sharing information, legal power of attorney, safeguarding issues, and mental capacity. | Required |
| Safeguarding | Any concerns in relation to safeguarding and is applicable to children and adults. | Required |
| Professional contacts | Current and historic details of health and care professionals, teams, or organisations involved in the care of the person. | Required |
| Personal contacts | Personal contacts (e.g., family, friends, relatives, etc.). | Required |
| Referral details | Current and historic referrals. | Required |
| Contacts with professionals | Details of the person’s contacts with services, their encounters. Includes outpatient appointments, home visits, hospital and outpatient attendances, out-of-hours GP visits, clinic appointments, social worker visits, etc. | Required |
| Admission details | Details of the patient’s admission and reason for admission. | Required |
| Discharge details | The details of the patient’s discharge including discharge destination. | Required |
| Future appointments | The details of any future appointments the person may have. | Required |
| Investigation results | Details of investigation results. | Required |
| Investigations requested | Details of investigations requested. | Required |
| Examination findings | Details of examinations performed by healthcare professionals. | Required |
| Assessments | Details of assessments that health or care professionals have completed. | Required |
| Risks | Risks to the person or others (from the person). | Required |
| Allergies and adverse reactions | The details of any known allergies, intolerances, or adverse reactions. | Required |
| Medications and medical devices | The details of and instructions for medications and medical equipment the patient is using. Includes changes in prescribed medications. | Required |
| Care and support plan | The personalised care and support plan agreed during conversation between the person and health and care professional. It includes their strengths, needs, goals, and actions and activities to achieve those goals along with progress and outcomes. | Required |
| Contingency plans | These describe what needs to be done and who to contact, should an individual’s health or other circumstances get worse. | Required |
| Additional support plans | This is the content of any additional plans which the person and/or care professional consider should be shared with others providing care and support. | Required |
| Palliative and end of life care | Information relating to palliative and end of life care. This is not an end-of-life or palliative care plan but contains information that would be found within that. | Required |
| Documents | Any additional documents relating to the person’s care, e.g., scan images, letters, or reports. | Required |
Further resources
- Minimum viability information standard (MVIS)
PRSB information standards define best practice based on evidence and widescale consultation and input from users and stakeholders. PRSB recognises that the NHS and social care are on a journey towards standardisation and interoperability and our aim is to support and encourage implementers on that journey. For this reason, we have defined and clinically validated a ‘Minimum Viable Information Standard (MVIS)’ for each of our standards which represent the minimum safe instance of the standard and delivers the intended objectives within the spirit of the standard. The MVIS defines the data items and business rules which must be implemented in order to have achieved this minimum instance. It is our aim that implementers will continue to improve their implementation of the standard over time and strive for a ‘best practice’ implementation, supported and evidenced by PRSB conformance testing. Please contact our support team to receive a copy of the MVIS for this standard. - Standards explained
PRSB’s guide to standards which sets out the purpose and benefits of using standards and how to support frontline professionals to adopt them.
- IHRIM record correction guidance
Despite vigilance when filing information in records, mistakes can occur. The Institute of Health Records and Information Management has guidance to support professionals in making corrections following errors.
Endorsement
- British Association for Music Therapy
- British Dietetic Association
- British Geriatrics Society
- British Psychological Society
- Care Provider Alliance
- Care Software Providers Association (CASPA)
- Chartered Society of Physiotherapy
- Compassion in Dying
- Health and Social Care Alliance Scotland
- Institute of Health Records and Information Management
- Local Government Association
- Royal College of Emergency Medicine
- Royal College of General Practitioners
- Royal College of Nursing
- Royal College of Occupational Therapists
- Royal College of Physicians
- Royal Pharmaceutical Society