Live service information and alerts
Paper switch off - find out about the paper switch off programme, including switch off dates and implementation information.
Reports and statistics - including weekly utilisation reports
If you're a patient, book or manage your e-referral - visit NHS.UK if you've been referred to a hospital or clinic through the NHS e-Referral Service. NHS staff can find out how to help patients to manage their referral online.
NHS e-Referral Service
The NHS e-Referral Service (e-RS) combines electronic booking with a choice of place, date and time for first hospital or clinic appointments. Patients can choose their initial hospital or clinic appointment, book it in the GP surgery at the point of referral, or later at home on the phone or online.
Live service information and alerts
Paper switch off
The Standard Contract for 2018/19 requires the full use of the NHS e-Referral Service (eRS) for all consultant-led first outpatient appointments. From 1 October 2018, providers will only be paid for activity resulting from referrals made through eRS. This will support local health communities to plan for the paper switch off for elective referrals.
The new GP contract includes a further investment of £10 million in practices, to support full implementation of e-RS, to make it available at every GP practice by October 2018.
NHS England has issued new guidance for managing referrals. The guidance and a set of frequently asked questions (FAQs) is aimed at commissioners (CCGs and NHS England), GP practices, and all providers of acute consultant-led outpatient services which accept referrals from GP practices.
Find out the latest paper switch off (PSO) dates for NHS Trusts.
The impact of paper switch off
The University Hospitals of Morecambe Bay NHS Foundation Trust has reviewed a sample of 100 e-Referral Service (e-RS) referrals against 100 paper referrals to understand the patient benefits. From an analysis across 20 clinical specialities, the findings revealed that on average patients received an appointment 8 days faster when referrals were made via e-RS. Find out more.
Resources to help you with paper switch off
Video case study
This case study shows how Yeovil District Hospital NHS Foundation Trust achieved paper switch off in November 2017. It highlights the trust's approach to paper switch off and their top tips.
The first trust in the West Midlands achieving Paper Switch Off is Sandwell and West Birmingham Hospitals NHS Trust.
Sally Sandel, Senior Commissioning Manager at Sandwell and West Birmingham CCG said: “The trust has worked really hard to achieve this and it’s also a real demonstration of partnership working between the trust, the CCG, the CSU and primary care. Recognition needs to be given to GP practices across the CCG footprint that actively attended e-RS training and came on board with e-RS much earlier than required. The CCG and the trust will continue to work together to address any ongoing issues and pressures, through regular meetings and through our e-RS user groups, where any concerns GP practices have can be raised, discussed and resolved.”
Read how The Princess Royal University Hospital (PRUH), located on Farnborough Common is part of the King’s College NHS Foundation Trust worked collaboratively to switch-off paper referrals.
GP case studies
“Advice and Guidance is definitely worth using. It's very quick, it's responsive and I can't see a single reason why any one of us GPs wouldn't want to use it for patients.” Dr Dan Dhanushan, New Queen Street Surgery, Whittlesey, Cambridgeshire.
Find out more about what the health community in Cambridgeshire and Peterborough think about the improved e-RS Advice and Guidance function by watching this video:
Dr Chris Markwick’s local trust, County Durham and Darlington NHS Foundation Trust, was one of the first to switch off paper referrals. Find out what he thinks about e-RS.
The East London Health and Care Partnership have produced a video about e-RS and how they feel it has the potential to transform the way they look after their patients.
Clinicians from primary and secondary care describe the enhanced Advice and Guidance function and the new Referral Assessment Service, as well as the broader benefits of e-RS for patients and clinicians.
The paper switch off implementation pack details the recommended approach to the project, from establishing project governance and set-up, to business process change, along with:
- associated guidance
Communicating your plans effectively has been highlighted as critical. Use this new communication toolkit to help you to plan and deliver your communication activity. If you require further information, contact your NHS Digital Implementation Manager (details are in the implementation pack).
Find out more about paper switch off.
Using the service
If you're a patient, find out more about appointment booking on the NHS.UK website.
Whether you're using e-RS for the first time, or an existing user wanting to make the most of the service, NHS Digital provides a range of material for referrers (such as a general practice), providers (a hospital or clinic) and commissioners.
This demonstration video shows a typical patient journey using e-RS:
This shows how to:
- create a service
- raise an Advice and Guidance request and receive responses
- create a referral
- a patient makes an appointment online
- a provider accepts a referral
Benefits of the service
The benefits of e-RS include:
- cost and time savings
- fewer missed appointments
- fewer inappropriate referrals
- shorter referral to treatment times
- choice of hospital or specialist
- choice of appointment date and time
Find out more about the benefits of the service.
Improving the service
We are continually improving the service and many changes have already been made, and more are planned. Find out how the service is improving.
Find out how to integrate systems to enable electronic booking with the NHS e-Referral Service (e-RS), including how to achieve compliance, attain secure coupling and support safe business process interactions.
Covering lessons learned and personal experiences, these case studies provide an insight into the implementation, benefits and use of the NHS e-Referral Service (e-RS) across primary and secondary care.
Keep up-to-date with e-Referral Service (e-RS) progress, news and events.
Thanks to user feedback, the NHS e-Referral Service (e-RS) is continually improving to make it easier, quicker and more convenient to use. Find out about the improvements we're making.
The NHS e-Referral Service (e-RS) is used to make around 40,000 referrals daily. A full record of these is available in the application, with a wealth of information that can be used when making commissioning decisions and managing referrals.
Download guidance and implementation documents for the NHS e-Referral Service.
Find out about NHS e-Referral Service (e-RS) planned maintenance and service availability.
Find information and training to help you get started with making referrals in the NHS e-Referral Service (e-RS), as well as guidance and help to make the most of the system.
Information and training for providers using the NHS e-Referral Service (e-RS), as well as guidance and help to make the most of the system. You can also learn about benefits and best practice.
These reports are intended to be used in addition to local NHS e-Referral Service reports and extracts available from within our application. Each report includes a cover page detailing the contents, and the criteria used for any data analysis.
If you're a referrer, provider or commissioner with a general enquiry about the NHS e-Referral Service (e-RS), you can contact us by completing this form. This form is not for patient enquiries.
More referrals are being made electronically with the NHS e-Referral Service (e-RS). Using e-RS means practices have the chance to save time by helping patients manage their referral online.
Why and how we process your data in the NHS e-Referral Service, and your rights.