Booking and Referral Standard
The Booking and Referral Standard (BaRS) is an interoperability standard that helps a service to send or receive booking and referral information to or from another care provider for the purpose of a patient's ongoing care.
An interoperability standard describes a set of rules that govern the format, language and delivery for transferring data or information from any healthcare system to another.
Adopting BaRS for sending and receiving booking and referral requests allows healthcare professionals in all settings to receive relevant information into existing healthcare IT systems quickly, safely and in a format that is useful to meet patient care needs.
Who this service is for
The standard will be used by healthcare IT system suppliers to support healthcare services looking for a digital solution to improve their booking and referral process. The standard is applicable to organisations developing their solutions to implement BaRS.
Systems developing BaRS need to be assured prior to implementation.
Patient journeys that benefit from BaRS
View examples of journeys that have implemented BaRS to improve patient experience:
- NHS 111, clinical assessment services (CAS) and emergency departments (EDs)
- NHS 111 online, EDs and urgent treatment centre (UTCs)
- Streaming and redirection, EDs and UTCs
- 999 and CAS referral
- 999 and CAS referral for ambulance validation
- GP and community pharmacy
- 999 Ambulance service trust (AST) and 999 AST (this journey is in development)
Documentation for BaRS
The documentation for BaRS is separated into three groups or products:
1. Core 1.4.0 is the foundation for BaRS and contains all elements required regardless of the workflows BaRS is being used to support.
2. BaRS Applications use the standard to support a particular patient journey.
3. BaRS Pre-Releases are the same as BaRS Applications but apply to applications that are in a pre-release state and therefore not available until private or public beta is complete.
How to access this service
Healthcare providers
- Identify the use case that would best match your requirements.
- Check if your supplier is BaRS ready by reviewing the supplier status.
- Speak to your supplier about either implementing BaRS or development requirements.
Healthcare system suppliers
Review the implementation guide to understand how to develop BaRS for your product.
National usage policy
The Data Alliance Partnership Board (DAPB) has approved BaRS as an information standard. A corresponding Information Standards Notice, reference DAPB4060 has been issued to support adoption and use of the standard.
All healthcare IT system suppliers delivering systems to healthcare providers in applicable care settings must work with their customers to determine any necessary changes.
Status, service level and current usage
This service is live and has been since April 2023.
You can view the supplier status of each organisation engaged with the booking and referral standard and their status.
The central BaRS routing proxy is a gold service which means it is supported 24 hours a day, 365 days a year.
Information standard notice (ISN) conformance dates
There is no single conformance date for BaRS across NHS care settings as the scope of the standard will expand over time. NHS England will identify appropriate conformance dates as BaRS is developed for each new patient journey.
Contact us
| Enquiry | Point of contact |
|---|---|
| General enquiries | [email protected] or complete our enquiry form |
| Implementation and onboarding | [email protected] or complete our enquiry form |
| Senior responsible officer (SRO) |
Ian Lowry Email: [email protected] |
| Live service incident |
National Service Desk Online portal: NHS England Customer Portal Email: [email protected] Telephone: 0300 303 5035 |
Further information
This page outlines BaRS information governance policy and the detail of the BaRS privacy notice.
This page outlines BaRS clinical safety information and provides a link to the BaRS clinical safety case report and BaRS hazard log.
Last edited: 31 March 2026 10:54 am