<ul class="nhsuk-grid-row nhsuk-card-group"><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#completion-rate">Completion rate</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span><span class="nhsuk-u-visually-hidden">Completion rate</span> 47.9%</span></h2></div></div></li><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#user-satisfaction">User satisfaction</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span><span class="nhsuk-u-visually-hidden">User satisfaction</span>43.48%</span></h2></div></div></li><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#cost-per-transaction">Cost per transaction</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span><span class="nhsuk-u-visually-hidden">Cost per transaction</span> £10.81</span></h2></div></div></li></ul><h2 id="completion-rate">Completion rate</h2><p>Completion rate measures how many users successfully find and view the standard they were looking for, based on responses to the website's pop-up survey.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Month and year</th><th scope="col" class="nhsuk-table__header" role="columnheader">Completion rate</th><th scope="col" class="nhsuk-table__header" role="columnheader">Yes</th><th scope="col" class="nhsuk-table__header" role="columnheader">Kind of</th><th scope="col" class="nhsuk-table__header" role="columnheader">No</th><th scope="col" class="nhsuk-table__header" role="columnheader">I'm just browsing</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2026</th><td class="nhsuk-table__cell" role="cell">57.1%</td><td class="nhsuk-table__cell" role="cell">4</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">0</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">August 2026</th><td class="nhsuk-table__cell" role="cell">50%</td><td class="nhsuk-table__cell" role="cell">5</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">4</td><td class="nhsuk-table__cell" role="cell">3</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">July 2026</th><td class="nhsuk-table__cell" role="cell">45.2%</td><td class="nhsuk-table__cell" role="cell">14</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">14</td><td class="nhsuk-table__cell" role="cell">6</td></tr></tbody></table><h2 id="user-satisfaction">User satisfaction</h2><p>User satisfaction measures how satisfied users are with the service, based on responses to the website's pop-up survey.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Month and year</th><th scope="col" class="nhsuk-table__header" role="columnheader">User satisfaction</th><th scope="col" class="nhsuk-table__header" role="columnheader">Very dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Neither satisfied nor dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Satisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Very satisfied</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2026</th><td class="nhsuk-table__cell" role="cell">75%</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">2</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">August 2026</th><td class="nhsuk-table__cell" role="cell">25.0%</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">2</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">July 2026</th><td class="nhsuk-table__cell" role="cell">45.5%</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">2</td></tr></tbody></table><h2 id="cost-per-transaction">Cost per transaction</h2><p>Cost per transaction is the total cost of running the service, including technology, staffing and operational costs, divided by the total number of page views for the reporting period. We recognise a transaction as the page view of a standard.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Period</th><th scope="col" class="nhsuk-table__header" role="columnheader">Transactions</th><th scope="col" class="nhsuk-table__header" role="columnheader">Total service cost</th><th scope="col" class="nhsuk-table__header" role="columnheader">Cost per transaction</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2022 - August 2026</th><td class="nhsuk-table__cell" role="cell">36,977</td><td class="nhsuk-table__cell" role="cell">est. £400,000</td><td class="nhsuk-table__cell" role="cell">£10.81</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2025 - August 2026</th><td class="nhsuk-table__cell" role="cell">23,402</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£4.27</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2024 - August 2025</th><td class="nhsuk-table__cell" role="cell">5,886</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£16.98</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2023 - August 2024</th><td class="nhsuk-table__cell" role="cell">3,414</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£29.29</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2022 - August 2023</th><td class="nhsuk-table__cell" role="cell">4,275</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£23.39</td></tr></tbody></table>

This dashboard shows information on how the NHS Standards Directory is currently performing.

## Data Coordination Board

Acting under delegated authority from the Secretary of State for Health, the Data Coordination Board has approved a change to an existing information standard for publication under section 250 of the Health and Social Care Act 2012.

>You must comply with this change by the full conformance date specified below.

## Standard details

DCB unique identifier: DCB1605 Amd 27/2017

Name: Accessible Information, version 1.1

Approval date: 3 August 2017

Publication date: 10 August 2017

## Standard definition

This information standard aims to make sure that people who have a disability, impairment or sensory loss get appropriate information and communication support from NHS and adult social care services.

 It requires all applicable organisations to identify, record, flag, share and meet the information and communication support needs of patients, service users, carers and parents with a disability, impairment or sensory loss.

Successful implementation will lead to improved outcomes and experiences, and the provision of safer and more personalised care and services to those individuals who come within the scope of the standard.

## About this change

The standard has been updated following a post implementation review undertaken in early 2017. Changes to the standard include:
* Updates to the meaning of certain terms used, including changes to the definitions for �parent� and �highly visible�. 
* Amendments relating to mental health service users and the Mental Capacity Act 2005, to improve clarity, especially regarding support for people who may lack capacity.
* Inclusion of advice regarding support for individuals with a learning difficulty.
* Updates to reflect the current position regarding the inclusion and transfer of data recorded using existing systems.

The revised Implementation Guidance reflects these updates and also includes additional guidance on sharing of information (including consent), use of email / text message to communicate with patients / service users, parental responsibility, and to address some other specific queries that have been raised about interpretation. There are no substantive amendments to the Requirements of the Standard and no substantive changes to the overall scope.

Scope (Health and Health Services: NHS Services, Adult Social Care

Applies to: This standard applies to � and therefore must be implemented and adhered to by � ALL providers of publicly-funded NHS, public health and adult social care services.

Effective implementation will require such organisations to make changes to policy, procedure, human behaviour and, where applicable, electronic systems

Impacts Upon: Commissioners must ensure that their commissioning and procurement arrangements with providers of health and / or adult social care reflect, enable and support implementation and compliance with this standard. They must also seek assurance from providers of their compliance with this standard.

Implementation of this standard impacts all suppliers providing systems to the above providers; suppliers should work with their customers to determine appropriate use

Legal authority This information standard is published under section 250 of the Health and Social Care Act 2012.

It supports compliance with obligations under the Equality Act 2010.

Link to further documentation: The Requirements Specification, Implementation Guidance and the Change Specification are available on the NHS Digital website:

 www.content.digital.nhs.uk/isce/publication/accessibleinformation

Further information is available on the NHS England website at http://www.england.nhs.uk/accessibleinfo

## Contacts

Sponsor: Rob Dickman, Senior Policy Manager, Department of Health

SRO: Olivia Butterworth, Head of Public Participation, NHS England

Business Lead: Sarah Marsay, Public Engagement Manager, NHS England

Help Desk: england.patientsincontrol@nhs.net

## Dates

Implementation and conformance dates: Conformance with this Standard was due by 31 July 2016. This Notice does not change that date. ==Organisations== which have not yet implemented the Standard should start to do so with immediate effect. Those organisations that are compliant should note the contents of the change documentation issued.

Post Implementation Review date: 31 July 2019

The Information Standards Notice declaring the publication of the Accessible Information standard, that defines a set of information that can potentially be shared between systems in different sites and settings, among professionals and people using services.

accessible-information-isn

Accessible Information - ISN

Accessible Information - Information Standards Notice - Change

<div class="nhsuk-grid-row"><div class="nhsuk-grid-column-full"><p>The NHS Standards Directory helps you find information standards, technical standards, collections and extractions used across health and care.</p></div></div><div class="nhsuk-grid-row"><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m"> What this service provides</h2><p>The NHS Standards Directory helps people find standards that support digital systems used by health and adult social care services in England.</p><p>It brings together nationally recognised standards and provides information about how they are used and implemented.</p><p>The NHS Standards Directory hosts and signposts to information standards that are currently recognised, as well as to those we are aware are being developed for future use across the health and care system in England.</p><p><a href="/service-performance">View service performance</a></p></div><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m">Who should use this service</h2><p>This service is recommended for anyone who builds, buys, commissions or uses digital technology in health and adult social care.</p><p><b>These include (but are not limited to):</b></p><ul><li>Healthcare providers</li><li>Adult social care providers</li><li>IT suppliers</li><li>Software developers</li><li>Procurement teams</li><li>Performance managers</li><li>Authors of standards</li></ul></div></div><hr class="nhsuk-section-break nhsuk-section-break--l nhsuk-section-break--visible"><h2>Types of standards</h2><p>Standards are grouped into different categories based on what they do, some standards may appear in more than one category.</p><ul class="nhsuk-grid-row nhsuk-card-group"><li class="nhsuk-grid-column-one-half nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable nhsuk-card--primary"><div class="nhsuk-card__content"><p><i class="fa-solid fa-layer-group" aria-hidden="true" style="color:#005eb8; font-size:2rem;"></i></p><h3 class="nhsuk-card__heading nhsuk-heading-m"><a class="nhsuk-card__link" href="/search-results?order=asc&orderBy=name&type=Collections">Collections</a></h3><p class="nhsuk-card__description">Collections define what information should be gathered for a particular purpose, such as national reporting or service planning.</p><p class="nhsuk-u-margin-top-3"><b>Used by</b><br>Organisations collecting data.</p><p><b>Example</b><br>Gathering information needed for statutory reporting and service planning.</p><p><a href="/search-results?order=asc&orderBy=name&type=Collections">Browse collections</a><svg class="nhsuk-icon nhsuk-icon--chevron-right-circle" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" width="16" height="16" focusable="false" aria-hidden="true"><path d="M12 2a10 10 0 1 1 0 20 10 10 0 0 1 0-20Zm-.3 5.8a1 1 0 1 0-1.5 1.4l2.9 2.8-2.9 2.8a1 1 0 0 0 1.5 1.4l3.5-3.5c.4-.4.4-1 0-1.4Z" /></svg></div></div></li><li class="nhsuk-grid-column-one-half nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable nhsuk-card--primary"><div class="nhsuk-card__content"><p><i class="fa-solid fa-arrow-right-arrow-left" aria-hidden="true" style="color:#005eb8; font-size:2rem;"></i></p><h3 class="nhsuk-card__heading nhsuk-heading-m"><a class="nhsuk-card__link" href="/search-results?order=asc&orderBy=name&type=Extractions">Extractions</a></h3><p class="nhsuk-card__description">Extractions describe how information is taken from systems and shared with another organisation without changing the data.</p><p class="nhsuk-u-margin-top-3"><b>Used by</b><br>Organisations sharing data between systems.</p><p><b>Example</b><br>Sending data from a care record system to NHS England.</p><p><a href="/search-results?order=asc&orderBy=name&type=Extractions">Browse extractions</a></p><svg class="nhsuk-icon nhsuk-icon--chevron-right-circle" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" width="16" height="16" focusable="false" aria-hidden="true"><path d="M12 2a10 10 0 1 1 0 20 10 10 0 0 1 0-20Zm-.3 5.8a1 1 0 1 0-1.5 1.4l2.9 2.8-2.9 2.8a1 1 0 0 0 1.5 1.4l3.5-3.5c.4-.4.4-1 0-1.4Z" /></svg></div></div></li><li class="nhsuk-grid-column-one-half nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable nhsuk-card--primary"><div class="nhsuk-card__content"><p><i class="fa-solid fa-computer" aria-hidden="true" style="color:#005eb8; font-size:2rem;"></i></p><h3 class="nhsuk-card__heading nhsuk-heading-m"><a class="nhsuk-card__link" href="/search-results?order=asc&orderBy=name&type=Technical+standards+and+specifications">Technical standards</a></h3><p class="nhsuk-card__description">Technical standards explain how digital systems exchange information so they can work together reliably.</p><p class="nhsuk-u-margin-top-3"><b>Used by</b><br>Software suppliers and developers.</p><p><b>Example</b><br>Connecting two systems so they can exchange information.</p><p><a href="/search-results?order=asc&orderBy=name&type=Technical+standards+and+specifications">Browse technical standards</a></p><svg class="nhsuk-icon nhsuk-icon--chevron-right-circle" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" width="16" height="16" focusable="false" aria-hidden="true"><path d="M12 2a10 10 0 1 1 0 20 10 10 0 0 1 0-20Zm-.3 5.8a1 1 0 1 0-1.5 1.4l2.9 2.8-2.9 2.8a1 1 0 0 0 1.5 1.4l3.5-3.5c.4-.4.4-1 0-1.4Z" /></svg></div></div></li><li class="nhsuk-grid-column-one-half nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable nhsuk-card--primary"><div class="nhsuk-card__content"><p><i class="fa-regular fa-file-lines" aria-hidden="true" style="color:#005eb8; font-size:2rem;"></i></p><h3 class="nhsuk-card__heading nhsuk-heading-m"><a class="nhsuk-card__link" href="/search-results?order=asc&orderBy=name&type=Information+standards">Information standards</a></h3><p class="nhsuk-card__description">Information standards define how information should be recorded and used so everyone works in a consistent way.</p><p class="nhsuk-u-margin-top-3"><b>Used by</b><br>Health and social care providers.</p><p><b>Example</b><br>Recording a person's date of birth or address in a universal format.</p><p><a href="/search-results?order=asc&orderBy=name&type=Information+standards">Browse information standards</a></p><svg class="nhsuk-icon nhsuk-icon--chevron-right-circle" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" width="16" height="16" focusable="false" aria-hidden="true"><path d="M12 2a10 10 0 1 1 0 20 10 10 0 0 1 0-20Zm-.3 5.8a1 1 0 1 0-1.5 1.4l2.9 2.8-2.9 2.8a1 1 0 0 0 1.5 1.4l3.5-3.5c.4-.4.4-1 0-1.4Z" /></svg></div></div></li></ul><hr class="nhsuk-section-break nhsuk-section-break--l nhsuk-section-break--visible"><div class="nhsuk-grid-row"><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m">What is not included</h2><p>The NHS Standards Directory does not currently include clinical care standards.</p><p><b>This includes:</b></p><ul><li>Clinical guidelines</li><li>Treatment pathways</li><li>Standards for clinical practice</li></ul><p>The directory focuses on information standards, technical standards, collections and extractions that support health and care services.</p></div><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m">Why standards matter</h2><p>Better health and care outcomes are at the heart of information standards. They help ensure health and social care professionals have access to accurate, reliable information to support safe and effective care. Many information standards are also mandatory or required as <a href="https://digital.nhs.uk/data-and-information/information-standards/governance/legislative-changes-and-mandatory-information-standards">part of legislation.</a></p><p><b>Using standards helps organisations to:</b></p><ul><li>Record and exchange information consistently</li><li>Improve data quality</li><li>Reduce duplication of effort</li><li>Analyse information more effectively</li><li>Enable interoperability between systems</li><li>Support safer and more efficient care</li></ul></div></div><hr class="nhsuk-section-break nhsuk-section-break--l nhsuk-section-break--visible"><div class="nhsuk-grid-row"><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m">Who manages this service?</h2><p>The service is managed by NHS England working with organisations involved in standards <a href="https://digital.nhs.uk/data-and-information/information-standards">development</a>, <a href="https://digital.nhs.uk/data-and-information/information-standards/assuring-a-data-collection-or-information-standard">assurance</a>, <a href="https://digital.nhs.uk/data-and-information/information-standards/governance">governance</a> and implementation.</p></div><div class="nhsuk-grid-column-one-half"><h2 class="nhsuk-heading-m">Give feedback</h2><p>This service is in development and is continually improved through user feedback. To report a problem or suggest an improvement go to our <a href="help-and-support">help and support page</a>.</p></div></div><hr class="nhsuk-section-break nhsuk-section-break--l nhsuk-section-break--visible"><div class="nhsuk-grid-row"><div class="nhsuk-grid-column-full"><h2>Standards for specialist services</h2><div class="nhsuk-card"><div class="nhsuk-card__content"><p><figure class="nhsuk-image"><img class="nhsuk-image__img" src="https://dzffzywis6qj0.cloudfront.net/dhsc-care-logo-3268-002_crop.png" style="width:150px;" alt="Department of Health and Social Care, 'CARE' Logo" </figure></p><h3 class="nhsuk-card__heading">The Adult Social Care Standards Directory</h3><p class="nhsuk-card__description">The Adult Social Care Standards Directory, also referred to as the Adult Social Care Terminology Data Catalogue, contains a set of standards for collecting and using information in adult social care for Digital Social Care Records (DSCR). This service is powered by the NHS Standards Directory.</p><p class="nhsuk-u-margin-top-3"><a href="https://adultsocialcare.standards.nhs.uk">https://adultsocialcare.standards.nhs.uk</a></p>

<p><iframe width="560" height="315" src="https://www.youtube.com/embed/_9y4k1Ffhfc?si=--QLUJtvcQpPSrf5&amp;start=300" title="YouTube video player" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></p></div></div></div></div>

Learn how the NHS Standards Directory helps people find information standards, technical standards, collections and extractions used across health and care..

about-standards

About information standards

About the NHS Standards Directory

<ul class="nhsuk-grid-row nhsuk-card-group"><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#completion-rate" class="nhsuk-card__link">Completion rate</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span role="text"><span class="nhsuk-u-visually-hidden">Completion rate</span> 47.9%</span></h2></div></div></li><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#user-satisfaction" class="nhsuk-card__link">User satisfaction</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span role="text"><span class="nhsuk-u-visually-hidden">User satisfaction</span>43.48%</span></h2></div></div></li><li class="nhsuk-grid-column-one-third nhsuk-card-group__item"><div class="nhsuk-card nhsuk-card--clickable"><div class="nhsuk-card__content"><a href="#cost-per-transaction" class="nhsuk-card__link">Cost per transaction</a><h2 class="nhsuk-card__heading nhsuk-u-font-size-64 nhsuk-u-margin-bottom-1"><span role="text"><span class="nhsuk-u-visually-hidden">Cost per transaction</span> £10.81</span></h2></div></div></li></ul><h2 id="completion-rate">Completion rate</h2><p>Completion rate measures how many users successfully find and view the standard they were looking for, based on responses to the website's pop-up survey.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Month and year</th><th scope="col" class="nhsuk-table__header" role="columnheader">Completion rate</th><th scope="col" class="nhsuk-table__header" role="columnheader">Yes</th><th scope="col" class="nhsuk-table__header" role="columnheader">Kind of</th><th scope="col" class="nhsuk-table__header" role="columnheader">No</th><th scope="col" class="nhsuk-table__header" role="columnheader">I'm just browsing</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2026</th><td class="nhsuk-table__cell" role="cell">57.1%</td><td class="nhsuk-table__cell" role="cell">4</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">0</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">August 2026</th><td class="nhsuk-table__cell" role="cell">50%</td><td class="nhsuk-table__cell" role="cell">5</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">4</td><td class="nhsuk-table__cell" role="cell">3</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">July 2026</th><td class="nhsuk-table__cell" role="cell">45.2%</td><td class="nhsuk-table__cell" role="cell">14</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">14</td><td class="nhsuk-table__cell" role="cell">6</td></tr></tbody></table><h2 id="user-satisfaction">User satisfaction</h2><p>User satisfaction measures how satisfied users are with the service, based on responses to the website's pop-up survey.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Month and year</th><th scope="col" class="nhsuk-table__header" role="columnheader">User satisfaction</th><th scope="col" class="nhsuk-table__header" role="columnheader">Very dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Neither satisfied nor dissatisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Satisfied</th><th scope="col" class="nhsuk-table__header" role="columnheader">Very satisfied</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2026</th><td class="nhsuk-table__cell" role="cell">75%</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">1</td><td class="nhsuk-table__cell" role="cell">2</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">August 2026</th><td class="nhsuk-table__cell" role="cell">25.0%</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">2</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">2</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">July 2026</th><td class="nhsuk-table__cell" role="cell">45.5%</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">0</td><td class="nhsuk-table__cell" role="cell">3</td><td class="nhsuk-table__cell" role="cell">2</td></tr></tbody></table><h2 id="cost-per-transaction">Cost per transaction</h2><p>Cost per transaction is the total cost of running the service, including technology, staffing and operational costs, divided by the total number of page views for the reporting period. We recognise a transaction as the page view of a standard.</p><table class="nhsuk-table" role="table"><thead class="nhsuk-table__head" role="rowgroup"><tr class="nhsuk-table__row" role="row"><th scope="col" class="nhsuk-table__header" role="columnheader">Period</th><th scope="col" class="nhsuk-table__header" role="columnheader">Transactions</th><th scope="col" class="nhsuk-table__header" role="columnheader">Total service cost</th><th scope="col" class="nhsuk-table__header" role="columnheader">Cost per transaction</th></tr></thead><tbody class="nhsuk-table__body"><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2022 - August 2026</th><td class="nhsuk-table__cell" role="cell">36,977</td><td class="nhsuk-table__cell" role="cell">est. £400,000</td><td class="nhsuk-table__cell" role="cell">£10.81</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2025 - August 2026</th><td class="nhsuk-table__cell" role="cell">23,402</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£4.27</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2024 - August 2025</th><td class="nhsuk-table__cell" role="cell">5,886</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£16.98</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2023 - August 2024</th><td class="nhsuk-table__cell" role="cell">3,414</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£29.29</td></tr><tr class="nhsuk-table__row" role="row"><th scope="row" class="nhsuk-table__header" role="rowheader">September 2022 - August 2023</th><td class="nhsuk-table__cell" role="cell">4,275</td><td class="nhsuk-table__cell" role="cell">est. £100,000</td><td class="nhsuk-table__cell" role="cell">£23.39</td></tr></tbody></table>

service-performance

Service Performance

Discover recognised published standards that help data work together for users in health and adult social care within England.

published-standards

Published standards

* [Home](https://standards.nhs.uk/)

## Browse by care setting

* [Hospitals](/search-results?care_setting=Hospital)
* [GP and primary care](/search-results?care_setting=GP+%2F+Primary+care)
* [Social care](/search-results?care_setting=Social+care)
* [Browse all care settings](/search-results)

##  Browse by topic

* [Appointments](/search-results?topic=Appointment+%2F+scheduling)
* [Access to records](/search-results?topic=Access+to+records)
* [Vaccination](/search-results?topic=Vaccination)
* [Browse all topics](/search-results)

## Browse by type

* [Technical standards and specifications](/search-results?standard_category=Technical+standards+and+specifications)
* [Record standards](/search-results?standard_category=Record+standards)
* [Data definitions and terminologies](/search-results?standard_category=Data+definitions+and+terminologies)
* [Browse all standard types](/search-results)
* [Current standards](/search-results)
* [Browse future standards](/future-standards)

 ## Learn about standards and this service

* [About information standards standards and this service](/about-standards)
* [Information standards bulletin](/information-standards-bulletin/)
 * [Help and support](/help-and-support)
 * [Resources](/resources)
* [Accessibility statement](/accessibility-statement)
* [Cookies](/cookie-policy)
* [Privacy](/privacy-policy)
* [Service performance](/service-performance/)
 * [Adult social care - standards directory](https://adultsocialcare.standards.nhs.uk)
 

A sitemap for the NHS Standards Directory

site-map

Site map

This accessibility statement applies to the NHS Standards Directory.

We want as many people as possible to be able to use this website. For example, this means you should be able to:

- change colours, contrast levels and fonts
- zoom in up to 300% without the text spilling off the screen
- navigate most of the website using just a keyboard
- listen to most of the website using a screen reader
- we have also made the website text as simple as possible to understand
- [AbilityNet](https://mcmw.abilitynet.org.uk/) has advice on making your device easier to use if you have a disability.

## How accessible this website is

We know from several accessibility reports that parts of this website are not fully accessible.

### Usability issues

We have identified some issues with content we aim to represent accessibly that while not owned by us, we link to in it's original form or have converted into accessible web content. Although they do not fail to meet Web Content Accessibility Guidelines (WCAG) 2.2, may prove challenging for users of the website. These include:

- some heading levels in the homepage increase by more than one level at a time
- some additional features within the filter section of the Current standards page may be beneficial for some blind users, such as the option to reset the filter options
- the details component used in standard listing pages is problematic for VoiceOver users
- the feedback link below the main menu does not include the destination as part of the hypertext
- when Window’s default colour inversion is used the search input is difficult to decipher for users with low vision
- nested lists in some of our content pages can make reading slow and difficult to some screen readers
- links to websites or software that we do not own or manage and so cannot guarantee their accessibility
- a large number of old publication documents are in PDF format, and haven't been designed for accessibility
- some content is embedded in our website, such as maps and videos, and you cannot easily scale these on screen (but you can open a full screen version). Videos on vimeo and youtube should offer transcription and subtitles either automatically or if added by the original author.
- Complex tables may exceed the website’s ability to remain accessible and therefore we may provide a link to the content in a document that could be downloaded.
- Data visualisations are converted as best as possible using Mermaid.js. In the event the diagram is too complex, it may exceed the website’s ability to remain accessible. In any case an accessible description of the diagram will be visible which has been created by Artificial Intelligence.

We are actively working to address these issues as part of an ongoing programme to improve the accessibility of this website.

### Other websites that the directory signposts to

Many of the links to older standard documentation that we signpost use PDFs which are not fully accessible to screen reader software. Some of these PDFs are required to access the specification or implementation guidance for the standards.

If you're having problems using these PDFs, contact the standard owner for advice.

## Feedback and contact information

We are always looking to improve the accessibility of this website. We are also regularly carrying out user research of new features of the website and have focused on accessibility needs as well. Contact us via the <a href="help-and-support">help and support</a> section on this site if you have an accessibility query or to be included in a bulletin that describes opportunities to get involved or join our user group. Do also get in contact If you have:

- issues with accessing information or using this website
- an accessibility problem not listed on this statement
- any positive feedback about this website's accessibility
- a request for an accessible version of content or a document

## Enforcement procedure

If you contact us with a complaint and you are not happy with our response, contact the [Equality Advisory and Support Service (EASS)](https://www.equalityadvisoryservice.com/). The Equality and Human Rights Commission (EHRC) is responsible for enforcing the [Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 on legislation.gov.uk](https://www.legislation.gov.uk/uksi/2018/952/contents/made) (the "accessibility regulations").

## Technical information about this website's accessibility

We're committed to making this website accessible, in accordance with the accessibility regulations.

### Compliance status

This website will be estimated to be compliant with the Web Content Accessibility Guidelines (WCAG) version 2.2 AA standard by August 2026. This means we have addressed all the level A and AA accessibility issues identified through internal tests and raised by an external evaluator. The introduction of historical content may introduce accessibility issues we have aimed to minimise. Where we cannot overcome this without significantly changing the author’s original structure and content, we provide a link to the original document. On an individual basis we can provide a more accessible version if requested with the caveat that the content cannot be a guaranteed like for like representation.

## Preparation of this accessibility statement

This statement was updated in August 2026.

This website was first tested in September 2022 by the [Digital Accessibility Centre (DAC)](https://digitalaccessibilitycentre.org/), who performed an expert user evaluation against all level A and AA success criteria of WCAG 2.1. A technical review to Web Content Accessibility Guidelines (WCAG) version 2.1 AA standard was carried out in April 2024. In 2025 an accessibly audit was commissioned with Dig Inclusion in order to test compliance to Web Content Accessibility Guidelines (WCAG) version 2.2 AA standard. After 2 audits the last remediations are currently being actioned and is expected to be fully compliant by August 2026. This website's accessibility will continue to be reviewed on a regular basis.

Check how accessible our website is for disabled people and others.

accessibility-statement

Accessibility statement

NHS England publishes a regular Information Standards Bulletin for anyone with an interest in information standards across health and adult social care in England.

Each bulletin brings together timely updates and practical insights, including:

- New and updated features in the NHS Standards Directory, plus opportunities for users to influence how the site hosts and signposts to standards information.
- Key updates on information standards, including data collections, and technical specifications that may impact policy, delivery, or implementation.
- Changes to assurance, governance, and legislation related to information standards.
- Tools, services, terminologies, and classifications that support the effective use and implementation of information standards.

The bulletin is typically issued monthly, with occasional updates where there is important or time-sensitive information to share. It is relevant to data, digital and technology subject matter experts in care settings and in IT supplier organisations working in health and adult social care.

<div class="nhsuk-card nhsuk-u-background-grey-5 nhsuk-u-padding-5">
<div class="nhsuk-card__content">
<h2>How to subscribe</h2>
<p>To receive the Information Standards Bulletin, visit the <a href="https://crm.digital.nhs.uk/customerinsightsforms/?mktformid=893722c2-3b4a-f111-bec6-7c1e5266794f">subscription page</a> and select “Information Standards Bulletin” from the list of options. You can subscribe or update your preferences at any time using the same link.</p>
</div>
</div>

Read updates, insights, and changes to health and social care information standards in England.

information-standards-bulletin

Information standards bulletin

Your privacy is important to us. This privacy policy covers what we collect and how we use, share and store your information.

This page tells you:

* about the information we may collect
* how we keep your data secure
* who we share your data with
* about your rights to see or change information we hold about you

## Information we may collect

You can leave feedback by <a href="help-and-support">contacting our team</a> or using the user pop-up survey. You can choose to share your email address if you want a reply by email, otherwise, we collect and store feedback anonymously.

### How we use cookies

Our website uses cookies. These are small files saved on your phone, tablet or computer when you visit a website. They store information about how you use the website, such as the pages you visit.

The law says that we can store cookies on your device if they are strictly necessary to make our website work. We need your permission for all other types of cookies before we can use them on your device.

We like to use analytics cookies that measure how you use our website and help us improve our service for future users but we only use these cookies if you say it's OK.

[Read our cookie policy](/cookie-policy) to find out more about the cookies we use and tell us if we can put analytics cookies on your device.

We sometimes use tools on other organisations' websites to collect data or to ask for feedback. These tools set their own cookies.

#### How we collect and store your data

If you interact with us on social media, we may receive some personally identifiable data about you, which is supplied by the channel you are using (for example, Twitter or Linkedin). This may include:

* your name
* social media handles (such as Twitter account name)
* location history (where you are contacting us from)
* images (such as your profile picture)

We will process and store your data in accordance with the terms and conditions and privacy policy of the platform in question. You should be aware that your use of these platforms is governed by the terms and conditions agreed between you and the platform, rather than with us.

We will not remove, duplicate or transfer your personal data from or between any of the social platforms that we use, except for when you give us explicit permission to do so or when we believe that we need to in order to respond to an urgent risk to health.

You should be aware that social networks may control some of the data associated with interactions between you (the user) and us (NHS Standards Directory) on their platforms. For example, we will be able to delete our own records of a private message conversation if you ask us to do so, but social networks may store a copy of this conversation that we are unable to access.

We recommend using the privacy tools built into the social networks in question to make sure you are able to exercise your rights appropriately.

#### Understanding how social networks use your data

Social networks use information about your online activity to build a profile of you. This data is then used (anonymously) to send you targeted adverts across various digital platforms.

You should be aware that interacting with accounts such as ours may help build the profile of you that social networks maintain, and that could potentially result in you receiving adverts about related issues.

This process of collecting data for advertising purposes is not controlled by the NHS Standards Directory, and we do not have access to the profiling data stored by social networks about you.


## Keeping your personal data secure

We convert your data into secure code (encrypt it) and store it on secure servers in England. A partner organisation is providing hosting services but has no say in how the information is used. There are no legal ways for their employees to see the data. Only approved people in the NHS Standards Directory team can see it.

If you shared your email with us as part of a survey, we will delete it after 2 years. At that point no one can identify you in the survey data.


## Data sharing

NHS England may share anonymous information on how the service is used internally.

### Legal powers

When you give us personal information, we may pass it on if the law says we must.

If you make a claim against us, we and other third parties such as our solicitors may need to look at this information.

We will not share your personal information with anyone else without your permission for any other reason.


## Your rights

You can:


* find out what information we hold about you, ask us to correct it if it's wrong, or delete it by contacting us using the <a href="help-and-support">help and support</a> section of this site. 
* make contact via the [Information Commissioner's Office](https://ico.org.uk/), Wycliffe House Water Lane, Wilmslow SK9 5AF if you want to make a complaint about how we have managed your data.

Check how we collect, use, share and store data for people visiting our website.

privacy-policy

Privacy policy

## What are cookies?

Cookies are files saved on your phone, tablet or computer when you visit a website.

They store information about how you use the website, such as the pages you visit.

Cookies are not viruses or computer programs. They are very small so do not take up much space.

## How we use cookies

We only use cookies to:

* make our website work
* measure how you use our website, such as which links you click on (analytics cookies), if you give us permission

We do not use any other cookies, for example, cookies that remember your settings or cookies that help with health campaigns.

We sometimes use tools on other organisations' websites to collect data or to ask for feedback. These tools set their own cookies.

Check how we use cookies to collect and store information about visits to our website.

cookie-policy

Cookie policy

Discover future standards that could help data work together for users in health and adult social care within England.<br /><br />
  Please note these are subject to change and are not guaranteed to become published or to be assured by an approved Standards Body. For more information or to propose a new standard, view our <a href="help-and-support">help and support</a> section of this site.<br /><br />


future-standards

Future standards

### Submit a request

The fastest way to get help is through the NHS National IT Customer Support Portal.

To submit a request to the NHS Standards Directory you will need to:

<div class="nhsuk-card"><div class="nhsuk-card__content"><h2 class="nhsuk-card__heading nhsuk-heading-m">How to submit a request</h2><ol class="nhsuk-list nhsuk-list--number"><li>Log into the <a href="https://www.support.digitalservices.nhs.uk/csm">NHS National IT Customer Support Portal</a>.</li><li>Select 'Submit a Case'.</li><li>From the categories listed on the left-hand side of the screen, select 'Standards'.</li><li>Select the subcategory 'Standards Directory'.</li><li>Select 'Standards Directory Query'.</li><li>Complete the required fields to submit a request.</li></ol><p class="nhsuk-body-s nhsuk-u-margin-top-4">New portal users will be prompted to <a href="https://nhsdigitallive.service-now.com/csm?id=kb_article&sysparm_article=KB0016176">create an account</a>.</p></div></div>

### Contact the service desk

<div class="nhsuk-card"><div class="nhsuk-card__content"><p class="nhsuk-card__description">If you are unable to use the online portal, you can reach the service desk via telephone - <b><a href="tel:03003034777">0300 303 4777</a></b></p></div></div>

Explore help and support for the standards community in health and social care when using this site. Includes information to submit a request and contacting the service desk.

help-and-support

Help and support

### Standards development bodies

The <a href="https://digital.nhs.uk/data-and-information/information-standards/governance">Data Alliance Partnership Board</a> approves information standards, data collections and extractions for health and adult social care in England.

<a href="https://www.gov.uk/government/organisations/government-digital-service">Government Digital Service</a> owns the <a href="https://www.api.gov.uk/#uk-public-sector-apis">UK government's API Catalogue</a> which lists public sector APIs. They also oversee the <a href="https://www.gov.uk/government/groups/data-standards-authority">Data Standards Authority</a> which sets standards for data-sharing in government.

<a href="https://www.hl7.org.uk/">HL7 UK</a> develops standards for exchanging electronic health information in the UK.

NHS Digital owns the <a href="https://digital.nhs.uk/developer/api-catalogue">NHS' API Catalogue</a> which lists APIs for use in the NHS.

<a href="https://theprsb.org">The Professional Record Standards Body</a> develops standards for patient and care records.

### Discussion forums

<a href="https://future.nhs.uk/">FutureNHS</a> is a platform for health and social care professionals to connect and contains many workspace areas where you can request to join and access shared material. An example is <a href="https://future.nhs.uk/Standards_and_Interoperability">The Architecture, Standards and Interoperability workspace</a>.

INTEROpen is a place to discuss standards development and usage in health and social care. Their <a href="https://interopen.ryver.com/application/login">forum</a> is hosted on Ryver - email membership@interopen.org to join.

<a href="https://digitalhealthnetworks.net">Digital health networks</a> are where health and social care professionals can support the digital agenda through discussions and events.

### Technology regulations

The <a href="https://service-manual.nhs.uk/standards-and-technology/service-standard">NHS Service Standard</a> and <a href="https://www.gov.uk/service-manual/service-standard">GDS Service Standard</a> are standards for designing and building online services. <a href="https://service-manual.nhs.uk/standards-and-technology/service-standard-points/17-make-your-service-interoperable">Point 17 of the NHS Service Standard</a> states that technology must implement standards that support interoperability.

The <a href="https://www.gov.uk/guidance/the-technology-code-of-practice">Technology Code of Practice</a> is a set of criteria to help government build or buy technology.

The <a href="https://www.w3.org/TR/WCAG21/">Web Content Accessibility Guidelines</a> are a requirement for all public sector websites and apps.

### Platforms for buying and selling IT

<a href="https://gpitbjss.atlassian.net/wiki/spaces/GPITF/overview?homepageId=1391134009">GP IT Futures Capabilities and Standards</a> is a commercial framework for primary care technology.

<a href="https://www.england.nhs.uk/hssf">Health System Support Framework</a> is a commercial framework for non-clinical solutions related to population health management such as advanced analytics and digital infrastructure.

<a href="https://www.digitalsocialcare.co.uk/social-care-technology/digital-social-care-records-dynamic-purchasing-system">The Digital Social Care Records Dynamic Purchasing System</a> is a commercial framework for solutions that digitise social care records.

### Design kits and case studies

<a href="https://service-manual.nhs.uk/design-system">The NHS Design System</a> has design patterns and style guides for use in the NHS digital services.

<a href="https://design-system.service.gov.uk">The GOV.UK Design System</a> has design patterns and style guides for use in all public sector digital services.

<a href="https://www.england.nhs.uk/digitaltechnology/blueprinting">NHS blueprinting</a> show examples of how care pathways have been improved with technology.

### Information Standards Bulletin

NHS England publishes a regular <a href="/information-standards-bulletin">Information Standards Bulletin</a> for anyone with an interest in information standards across health and adult social care in England.

Explore resources for the standards community in health and social care including links to discussion forums and government regulations.

Service Performance

Completion rate 47.9%

User satisfaction43.48%

Cost per transaction £10.81

Completion rate

User satisfaction

Cost per transaction

Month and year	Completion rate	Yes	Kind of	No	I'm just browsing
September 2026	57.1%	4	0	3	0
August 2026	50%	5	1	4	3
July 2026	45.2%	14	3	14	6

Month and year	User satisfaction	Very dissatisfied	Dissatisfied	Neither satisfied nor dissatisfied	Satisfied	Very satisfied
September 2026	75%	0	1	0	1	2
August 2026	25.0%	2	2	2	0	2
July 2026	45.5%	3	3	0	3	2

Period	Transactions	Total service cost	Cost per transaction
September 2022 - August 2026	36,977	est. £400,000	£10.81
September 2025 - August 2026	23,402	est. £100,000	£4.27
September 2024 - August 2025	5,886	est. £100,000	£16.98
September 2023 - August 2024	3,414	est. £100,000	£29.29
September 2022 - August 2023	4,275	est. £100,000	£23.39