Next-generation referral & assessment

Single Point of Access, delivered on an enterprise scale

OPERA NG connects clinicians to NHS e-Referral Service, CIS2 smartcard authentication and PDS patient lookup in one clean, audited referral and assessment platform.

Single Point of Access

One front door for every referral.

Fully integrated triage from NHS e-RS and external referral sources, linked to a comprehensive Directory of Services with interactive, customisable care-navigation routes — combined with sophisticated patient-choice options, enriched with high-quality choice data.

  • Integrated triage. Referrals from NHS e-RS and external sources arrive in a single, consistent triage workflow.
  • Comprehensive Directory of Services. Every triage decision is linked to a rich, maintained DOS.
  • Customisable care navigation. Interactive routing rules you can shape around local pathways.
  • Patient choice, enriched. Sophisticated choice options backed by high-quality choice data.

e-RS referrals

Create, modify and cancel NHS e-Referral Service referrals — shortlists, attachments, worklists and booking — through the published e-RS FHIR API.

CIS2 authentication

NHS Care Identity Service 2 smartcard sign-in with organisation and role selection mapped to e-RS business functions under NHS RBAC.

Summary Care Records

Integrated Summary Care Record (SCR) access, with patient consent captured in the clinical workflow, gives clinicians medications, allergies and adverse reactions context to support safe decisions.

Clinical episode forms

Structured clinical episodes including MECS and the GOS18 optometry referral, built on a reusable form factory with draft and resume workflows.

Documents with AI summaries

A clinical document store with AI-generated summaries, granular observations and clear disclaimers — clinicians always see the source document.

Clinical imaging

AWS HealthImaging PACS integration for viewing clinical imaging alongside the referral, without local PACS infrastructure.

Built on national NHS services.

  • NHS e-Referral Service (e-RS): referral creation, maintenance, shortlists, cancellation and worklists.
  • NHS Care Identity Service 2 (CIS2): smartcard authentication and role-based access.
  • Personal Demographics Service (PDS): live patient demographic lookup.
  • Summary Care Record (SCR): patient medications, allergies and adverse reactions in clinical context.
  • SNOMED CT: coded clinical conditions with UK terminology lookup.
  • AWS HealthImaging: cloud PACS for clinical imaging.
  • Advice & Guidance (A&G): clinician-to-clinician conversations within e-RS.

Assured, audited and safe by design.

  • Clinical safety aligned to DCB0129, with a maintained hazard log.
  • ISO 27001 and ISO 9001 accredited, with DSPT (Data Security and Protection Toolkit) and Cyber Essentials Plus.
  • Deep SIEM integration and reporting, available in-app or streamed to your own data lake.
  • Custom roles, custom routes and a highly tunable Directory of Services.
  • Built to be resilient: elastic scaling with unlimited referral and imaging storage.

See OPERA NG working today.

Contact Referral Management Services Ltd to arrange a walkthrough of referral, assessment and imaging workflows.

Talk to RMSL