Outpatients

As set out in the Elective Reform Plan, the Department is committed to ensuring that outpatient capacity is planned and used effectively, and that processes are streamlined to free up capacity where possible. This includes ensuring that all appointments are necessary and reducing missed appointments.

Digital scheduling tools like the NHS e-Referral Service (NHS e-RS), the NHS App, and the Manage Your Referral service are key enablers of this. The NHS e-RS is a digital platform used for referring patients from primary care into elective services. Manage Your Referral is the patient facing side of the NHS e-RS, allowing a patient to book, check, change, or cancel their first outpatient appointment online through its website or through the NHS App.

The 10-Year Health Plan builds on this vision. It introduces tools like My NHS GP, My Choices, and My Specialist for personalised scheduling. By 2028, the NHS App will become the primary gateway for patients to book appointments and manage their appointments. The Medium Term Planning Framework, published in October 2025, sets out the initial phase of this work starting this year, to bring forward a roadmap for the delivery of the NHS App’s functions as described in the 10-Year Health Plan. This will help deliver a technology-enabled model of planned care which gives patients one place to manage all their appointments, referrals, and interactions, while bringing efficiencies that reduce referral-to-treatment times.