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Spine

Spine supports the IT infrastructure for health and social care in England, joining together over 23,000 healthcare IT systems in 20,500 organisations.

Page contents

Access the Spine portal (HSCN smartcard users)

Read about Spine technical information - Warranted Environment Specification (WES)

Check your IT system and environment are supported for accessing Spine systems with a smartcard.

Access the national service desk weblog tool

Raise a technical or support call for Spine (log-in and HSCN access required).

Spine allows information to be shared securely through national services such as the Electronic Prescription Service, Summary Care Record and the e-Referral Service.


NHS Digital develops and maintains Spine. Recent developments include enabling the sharing of child protection information via the Child Protection Information System, and developing ways to allow easier access to demographic data through the Spine Mini Service.

Use Spine

Most users access Spine through clinical systems or through the Spine portal.

New ways are being developed to help systems suppliers design IT systems for health and care which can integrate with Spine or access important patient information. Contact the NHS national service desk for more information: Tel: 0300 303 5035 or email: ssd.nationalservicedesk@nhs.net.

Contact details

Our National Service Desk (NSD) can provide support and can escalate issues, where required:

Telephone: 0300 303 5035
Email:ssd.nationalservicedesk@nhs.net
Report via our customer portal

Further information

internal Spine technical information: Warranted Environment Specification (WES)

Computer systems which access NHS Digital services through Spine have to meet certain technical standards. The Warranted Environment Specification (WES) defines the client environments that we support and applications requiring a smartcard or other approved authenticator to be aligned with the terms and conditions.

internal Reasonable Adjustment Flag

The Reasonable Adjustment Flag is a national record which indicates that reasonable adjustments are required for an individual and optionally includes details of their significant impairments and key adjustments that should be considered.

Last edited: 20 September 2022 5:55 pm