DAPB4019: Reasonable Adjustment Digital Flag
The digital flag is held on the National Repository (NHS "spine"), enables health and care professionals to record, share and view details of reasonable adjustments across the NHS and social care, wherever the person is treated.
Under the Equality Act 2010, organisations have a legal duty to make changes in their approach or provision, called reasonable adjustments, to ensure that services are as accessible to people with disabilities as they are for everyone else. This duty aims to address the recognition that people with disabilities may have equal access to care and services, but without specific adjustments being made, that access may not be equitable.
The flag indicates that reasonable adjustments are required for an individual and optionally includes details of their significant impairments, underlying conditions and key adjustments that should be considered.
The flag aims to enable:
- Clear identification of all patients for whom reasonable adjustments may be required.
- Identification of patients with impairments including learning disability or autism (and all other relevant key impairments).
- Identification and sharing of key adjustments that will help a care episode go well or happen at all.
- Ubiquitous, consistent visibility and structure of the information – wherever a patient is seen or treated in health and care.
- Identification and maintenance of the information recorded and shared through the Reasonable Adjustment Digital Flag in conjunction with the wishes of patients and carers - leading to tailored, personalised care.
Publication: Information Standards Notice
What's changed
1. Change to implied consent as lawful basis for data processing
2. Change to conformance criteria (Phase 2)
3. Change to technical description of the national asset from “the NHS spine” to the “national repository/ asset”
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Scope |
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Type |
Standard |
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Responsible authority |
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Date of approval |
21 October 2025 |
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Publication date |
19 December 2025 |
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Release name |
Amd 24/2025 |
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Release number |
Version 2 |
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Status/stage |
Publication |
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Implementation date |
19 December 2025 |
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Full conformance date |
30 September 2026 |
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End date of assurance |
31 October 2028 |
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Legislation |
This information standard is published under Section 250 of the Health and Social Care Act 2012, as amended by the Health and Care Act 2022. Those subject to this information standard must comply within the required timeframes or they may be subject to enforcement action. |
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Key documents |
Implementation guidance (Amd 41/2025) |
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Further information |
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Contact details |
[email protected] (Public) [email protected] (Technical) |
Earlier updates and releases
Last edited: 11 May 2026 8:41 am