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NHS Spine Reconfiguration

NHS Spine Reconfiguration is required when a 'change of control' at the organisation level occurs. Reconfiguration is an NHS Connecting for Health (NHS CFH) process, undertaken on the Spine Directory Service (SDS).

What triggers reconfiguration?

NHS organistions

Within the NHS, reconfiguration is only undertaken once a statutory instrument (SI) has been issued indicating that the change has ministerial approval and becomes legal from a set date.

In the case of non-statutory NHS organisations, a reconfiguration will occur upon official notification from either the organisations named contact or the regulating body.

Independent Sector Healthcare Providers (ISHPs)

Within the Independent sector, who are delivering an increasing amount of NHS contracts, NHS CFH is notified by the Department of Health Central Contract Management Unit (CCMU).

Change of control is usually triggered by an acquisition by one ISHP of either another provider as an entire entity, or in some cases, part(s) of the estate of another provider (for example, a number of hospitals).

Spine Directory Service

From the Spine Directory Service perspective, this necessitates a recoding and migration exercise and creation of historic links to reflect the changes.

It is also necessary to enable the transfer of other services/operations associated with the use of the NHS Spine, from the predecessor organisation to the successor organisation. An example of this is the transfer of any existing Choose and Book episodes.

In order to ensure a seamless transfer to the new organisation code(s) a standard reconfiguration process is used. However, this is not a 'one size fits all' process and is applied where appropriate dependent on the systems and services in use at the site(s) involved.

The SDS Reconfiguration team manages this process, handling each reconfiguration exercise as a separate project working closely with the organisation to ensure:

  • seamless migration of NHS Spine users and all services ensuring no interruption to service is encountered
  • seamless migration of local systems and services
  • to adhere to the Information Governance Statement of Compliance (IGSoC)
  • to identify ownership appropriately
  • to maintain traceability - one of the key functions of SDS is to provide reference information, upon request, for the Department of Health or other Government departments. In the event of a request to provide historical information, it is essential that this information is accurate and historical codes are still identified
  • to ensure correct reporting is maintained to support ongoing NHS Strategies and Targets

As part of this process the Reconfiguration team will engage the National Application Service Providers (NASPs), NHS CFH programmes of work, local service providers (LSPs) and other suppliers when appropriate. This consultation is managed using a formal Request for Change Process (RFC).

Need further information?

Contact us for the NHS Reconfiguration project team.