Version: 1.0.4 | Published: 13 May 2026 | Updated: 11 days ago
Summary
Reference Code:
DAPB4019 Amd 24/2025
Publication Version:
2.0.0
Type:
- Information standards
- Technical standards and specifications
Effective From:
19 December 2025
Applies To:
- All providers of NHS care or treatment
- All providers of publicly funded social care
- Social care or services bodies (in their role as service providers)
- Independent contractors providing NHS services including primary medical services (GP practices), dental services, optometric services, and pharmacy services.
- Independent Healthcare Provider Network Organisations
- NHS Foundation Trusts and NHS Trusts
- Providers of NHS and / or social care from the voluntary and community or private sectors.
- Providers of public health services, including advice and information
Impacts On:
Implementation of this Standard impacts all system providers supplying systems
to the above providers. Applicable organisations should work with their system
providers to determine and establish appropriate system structures and
responses.
Conformance Date:
30 September 2026
Assurance Expiry Date:
31 October 2028
Topics:
- Appointment / scheduling
- Clinical decision support
- Continuity of care
- Key care information
- Patient communication
- Referrals
Care Settings:
- Community health
- Dentistry
- Hospital
- Maternity
- Mental health
- Pharmacy
- Social care
- Urgent and Emergency Care
Alternate Name:
RADF
Publication Date:
19 December 2025
Contact Point
Contact Point:
Contact Point Comment:
Please include “Reasonable Adjustment Digital Flag” in the subject line.
Documentation
Associated Media:
Description:
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.
Documentation Link:
Relations:
Name:Accessible Information
Name:Clinical Risk Management: its Application in the Deployment and Use of Health IT
Systems
Name:Clinical Risk Management: its Application in the Manufacture of Health IT
Systems
Name:Mental Health Services Data Set
Name:NHS Data Model and Dictionary Impairment Harmonised Standard
Name:Secure email
Dependencies:
Name:Core Information Standard
Name:SNOMED CT
Review & Status
Approval Date:
21 October 2025
Scope:
Health Services, NHS Services, Adult Social Care
Technical Committee:
Data Assurance Board (DAB)
Mandated:
Yes
Status:
active
Legal Authority 1
Legal Authority:
Section 250 of the Health and Social Care Act 2012
Legal Authority Description:
This information standard is published under section 250 of the Health and
Social Care Act 2012.
Origin
Name:
NHSE-SD Data Catalogue