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Creating a new NHS England: Health Education England, NHS Digital and NHS England have merged. More about the merger.

Spine services (no 2) 2014 Direction

Directions given by the Secretary of State for Health requiring NHS Digital to establish and operate such systems for the collection and analysis of information as are necessary for it to deliver the Spine services, and to exercise such systems delivery functions of the Secretary of State as are necessary for it to deliver the Spine services.


To enable NHS Digital to operate the Spine services listed in the annex to the Direction.

Learn more about the Directions

Further information

internal Spine

Spine supports the IT infrastructure for health and social care in England, joining together over 44,000 healthcare IT systems in 26,000 organisations.

Last edited: 22 October 2021 11:21 am