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NHS Elective Single Point of Access

Structured patient history at the point of triage

Every ICB must have Elective SPoA operational in their top 10 specialties by October 2026. The model only works when specialists have enough information to triage confidently.

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The challenge

The information problem

Elective Single Point of Access changes how referrals reach specialists. Instead of every GP referral going straight to a first appointment, a specialist reviews each referral and decides the next step: advice and guidance, straight-to-test, face-to-face consultation, or redirect to a more appropriate pathway.

The problem is what the specialist has to work with. Under current e-RS workflows, the triaging clinician sees the GP referral letter and any attachments. Not the full patient record. Not a structured symptom history. Not a medication list unless the GP included one.

With inadequate information, specialists either default to booking appointments (defeating the purpose of SPoA), return referrals as A&G asking for more detail (delaying patients and transferring workload back to GPs), or make pathway decisions on insufficient data.

How MyPreConsult supports SPoA

Structured history at the point of referral

MyPreConsult captures a structured AI patient history at the point of referral. The patient completes an adaptive, specialty-specific interview on their phone, in their own language, in their own time. The system delivers a structured clinical summary to the specialist before the triage decision is made.

The specialist triaging at SPoA now has the GP referral letter plus a comprehensive patient history: presenting complaint, symptom chronology, medications, allergies, red flags, and validated screening scores. That is a fundamentally richer information base for confident triage decisions.

What this enables

Confident, clinician-led triage decisions

Advice and guidance with confidence

Based on a complete clinical picture rather than a brief referral letter.

Straight-to-test

Order investigations before a first appointment. Where tests return normal, patients can be discharged without needing the appointment.

Informed first appointments

Patients who need face-to-face assessment arrive with the clinician already informed of the history.

Pathway redirection

Route to physiotherapy, community services, or self-management where the structured history supports this.

MyPreConsult does not autonomously triage patients or make pathway decisions. It provides structured pre-consultation information that enables clinician-led triage. All pathway decisions remain with the responsible specialist.

Get in touch

Building SPoA pathways for October 2026?

We can show you how structured patient history at the point of referral supports confident clinician-led triage.

Talk to our clinical team
Sagence Health Ltd · Clinical Director: Dr Simon Merritt

See how MyPreConsult supports NHS outpatient productivity and GIRFT outpatient transformation.

Clinicians remain in control. MyPreConsult supports intake and documentation workflows — it doesn’t make clinical decisions.