111 referral standard

111 referral standard

PRSB, commissioned by NHSX and working in partnership with NHS England and NHS Improvement, and with the NHS Digital Booking and Referral Standard programme, are developing a 111 referral standard. 


What we aim to do 

The aim of the project is to develop a standard for referral information from 111 that is useful to the receiver wherever the patient is directed to next. This could be a wide range of services from community pharmacies, dentists and other primary care services through to same day emergency care, emergency departments (EDs) or ambulance services. This will cover referrals from 111 (through call handlers, 111 online or clinicians) and from 999 services (subject to consultation). 


Current position

PRSB have developed a draft standard based on previous urgent care information flows work from 2018, validated with further discovery and consultation earlier this year. 

This draft standard is being used for pilots for 111 to ED as part of a Booking and Referral Standard managed by NHS Digital.  This project will both support the pilots and use feedback from them to inform the standard.


Take part in our survey

survey is now live to gather views of all those who will use the standard including those in all the potential receiving services, 111 and 999 referring services, system suppliers and people who might need the service. It will help define what information should be in the standard. The survey will close on Sunday 12 Dec 2021.



Following the survey, we will refine the draft standard for approval at the end of December 2021, and seek endorsement during Q4 of 21/22. 

Feedback from the pilots is expected in Feb/Mar 2022 and will be incorporated into the final standard for publication at the end of March 2022.  Implementation is anticipated during 22/23 for 111 to ED with other referral destinations following. 

For more information contact us via info@theprsb.org


Project documentation