Business roles - NHS e-Referral Service

This guidance contains a list of all of the available Registration Authority codes as well as the recommended roles for each professional user.

Registration authority codes

Registration Authority codes (RA codes) are assigned to professional users’ smartcards to give them access to the correct functions within the NHS e-Referral Service. The codes that are assigned will allow users to create and process referrals appropriately depending on their job role. In this guidance we have recommended the minimum role or roles that each user will require to carry out the basic tasks of their profession, although more may be required for some users.

Full list of RA codes

RA activity	RA activity code	Business function (e-RS role)
Manage Outbound Referrals	B1101	Referring Clinician
Proxy Manage Outbound Referrals	B1102	Referring Clinician Admin
Manage Outbound Appointments	B1103	Referring Admin
Manage Inbound Referrals	B1110	Service Provider Clinician
Proxy Manage Inbound Referrals	B1115	Service Provider Clinician Admin
Manage Inbound Appointments	B1120	Service Provider Admin
Perform CAB Appointments Line	B1105	BMS Admin
Maintain Service Configurations and Workgroups	B1107	Service Definer
Maintain Commissioned Services	B1106	Commissioner
Maintain Service Selection Guidance	B1108	Referrer Rights Manager
Perform Information Analyst	B1130	Information Analyst
Manage Indirect Appointments	B1140	Booking Manager
Manage Additional Requirements	B1145	Additional Requirements Manager

Find more information on Registration authorities.

GP/referring clinician

RA activity	RA activity code	Business function (e-RS role)
Manage Outbound Referrals	B1101	Referring Clinician

Notes

This NHS e-Referral Service role should only be allocated to organisations authorised to refer NHS patients – please liaise with your local commissioners if required.
This role is the minimum required for any organisation referring NHS patients. The other roles are Proxy Manage Outbound Referrals and Manage Outbound Appointments.

Practice manager

RA activity	RA activity code	Business function (e-RS role)
Proxy Manage Outbound Referrals	B1102	Referring Clinician Admin
Maintain Service Configuration and Workgroups	B1107	Service Definer

Notes

This NHS e-Referral Service role should only be allocated to organisations authorised to refer NHS patients – please liaise with your local commissioners if required.
This role is the minimum required for any organisation referring NHS patients. The other roles are Manage Outbound Referrals and Manage Outbound Appointments.
Referring Clinician Admin (RCA) is a delegated authority role. A minimum of one Referring Clinician role is required in order to ‘refer on behalf of’ the delegating clinician. See the NHS Digital website for more information on clinical responsibility when delegating actions.
The Service Definer role is valid for all organisations.

Medical secretary

Authority to refer on behalf of a GP/Referring Clinician

RA activity	RA activity code	Business function (e-RS role)
Proxy Manage Outbound Referrals	B1102	Referring Clinician Admin

Notes

This NHS e-Referral Service role should only be allocated to organisations authorised to refer NHS patients – please liaise with your local commissioners if required.
This role is the minimum required for any organisation referring NHS patients. The other roles are Manage Outbound Referrals and Manage Outbound Appointments.
Referring Clinician Admin (RCA) is a delegated authority role. A minimum of one Referring Clinician role is required in order to ‘refer on behalf of’ the delegating clinician. See the NHS Digital website for more information on clinical responsibility when delegating actions.

Practice admin

RA activity	RA activity code	Business function (e-RS role)
Proxy Manage Outbound Referrals	B1103	Referring Admin
Manage Additional Requirements	B1145	Additional Requirements Manager

Notes

This NHS e-Referral Service role should only be allocated to organisations authorised to refer NHS patients – please liaise with your local commissioners if required.
This role is the minimum required for any organisation referring NHS patients. The other roles are Manage Outbound Referrals and Manage Outbound Appointments.
The Additional Requirements Manager role is valid for all organisations.

Commissioning Organisation staff

Involved in the creation of commissioning rules, services and referrer rights rules.

RA activity	RA activity code	Business function (e-RS role)
Maintain Service Configuration and Workgroups	B1107	Service Definer
Maintain Commissioned Services	B1106	Commissioner
Maintain Service Selection Guidance	B1108	Referrer Rights Manager

Notes

The Service Definer role is valid for all organisations.
The Commissioner and Referrer Rights Manager roles are only valid under commissioning organisations including Commissioning Organisations and area teams.

Consultant

RA activity	RA activity code	Business function (e-RS role)
Manage Inbound Referrals	B1110	Service Provider Clinician
Proxy Manage Inbound Referrals	B1115	Service Provider Clinician Admin

Notes

The Service Provider roles are the minimum roles required to provide services on e-RS and manage referrals received into them.
The Service Provider roles are valid under all organisations who receive referrals via e-RS for NHS funded care.
Service Provider Clinician Admin (SPCA) is a delegated authority role. A minimum of one Service Provider Clinician role is required in order to ‘log-in on behalf of’ the delegating clinician. See the NHS Digital website for more information on clinical responsibility when delegating actions.

Clinician in outpatients department

RA activity	RA activity code	Business function (e-RS role)
Manage Inbound Referrals	B1110	Service Provider Clinician
Proxy Manage Inbound Referrals	B1115	Service Provider Clinician Admin

Notes

The Service Provider roles are the minimum roles required to provide services on e-RS and manage referrals received into them.
The Service Provider roles are valid under all organisations who receive referrals via e-RS for NHS funded care.
Service Provider Clinician Admin (SPCA) is a delegated authority role. A minimum of one Service Provider Clinician role is required in order to ‘log-in on behalf of’ the delegating clinician. See the NHS Digital website for more information on clinical responsibility when delegating actions.

Medical secretaries in a hospital

RA activity	RA activity code	Business function (e-RS role)
Proxy Manage Inbound Referrals	B1115	Service Provider Clinician Admin
Manage Inbound Appointments	B1120	Service Provider Admin
Manage Additional Requirements	B1145	Additional Requirements Manager

Notes

The Service Provider roles are the minimum roles required to provide services on e-RS and manage referrals received into them.
The Service Provider roles are valid under all organisations who receive referrals via e-RS for NHS funded care.
Service Provider Clinician Admin (SPCA) is a delegated authority role. A minimum of one Service Provider Clinician role is required in order to ‘log-in on behalf of’ the delegating clinician. See the NHS Digital website for more information on clinical responsibility when delegating actions.
The Additional Requirements Manager role is valid for all organisations.

Outpatients department manager

RA activity	RA activity code	Business function (e-RS role)
Manage Inbound Appointments	B1120	Service Provider Admin
Manage Indirect Appointments	B1140	Booking Manager
Manage Additional Requirements	B1145	Additional Requirements Manager

Notes

The Service Provider roles are the minimum roles required to provide services on e-RS and manage referrals received into them.
The Service Provider roles are valid under all organisations who receive referrals via e-RS for NHS funded care.
The Booking Manager role is valid for Service Providers of indirectly bookable services.
The Additional Requirements Manager role is valid for all organisations.

Admin in outpatients department

RA activity	RA activity code	Business function (e-RS role)
Manage Inbound Appointments	B1120	Service Provider Admin
Manage Additional Requirements	B1145	Additional Requirements Manager

Notes

The Service Provider roles are the minimum roles required to provide services on e-RS and manage referrals received into them.
The Service Provider roles are valid under all organisations who receive referrals via e-RS for NHS funded care.
The Additional Requirements Manager role is valid for all organisations.

Secondary care involved in the Directory of Services

RA activity	RA activity code	Business function (e-RS role)
Maintain Service Configurations and Workgroups	B1107	Service Definer

Notes

The Service Definer Role is valid for all organisations.

Information/performance department (referrer or provider)

RA activity	RA activity code	Business function (e-RS role)
Perform Information Analysis	B1130	Information Analyst

Notes

The Information Analyst role is valid for all organisations.

Last edited: 22 November 2023 2:44 pm