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

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 through the Digital Delivery Centre. 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 Digital Delivery Centre for more information by emailing

Contact details

You can get support by calling the National Service Desk on 0300 3035035 or raising a call using the national service desk tool.

Further information

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    Reasonable Adjustment Flag

    The Reasonable Adjustment Flag allows health care professionals to record, share and view the reasonable adjustments a patient will need to be made for them during their care.

Last edited: 13 October 2020 2:07 pm