NHS Modernisation Bill will introduce the single patient record, resulting in safer, more co-ordinated care for patients
Up to 20,000 fewer patients will have to go to A&E and 6,000 fewer will be admitted to hospital each year thanks to reforms made possible by new legislation marking the next step in the government’s plan to make the NHS in England fit for the future.
The NHS Modernisation Bill, which will be debated in Parliament today (Monday 1 June), will introduce the single patient record, allowing fragmented health information to be joined up around the country for the first time ever.
The single patient record will mean all NHS providers - including hospitals and GPs - have to share data so the right doctors, nurses and specialists across England can securely see a patient’s medical history, no matter where they are treated.
For patients, this means they will not have to keep repeating their story unnecessarily. It will result in safer, more co-ordinated care, with clinicians having the full picture when and where it’s needed.
The record will support better care closer to home - joining up community services and helping people manage their conditions. It will reduce A&E attendances by allowing better community care for frailty patients and reducing misdiagnoses.
It will give clinicians across the country a complete view of patients’ medicines, allergies and prescribing history, allowing them to deliver safer treatment and saving the taxpayer more than £20 million per year in unnecessary medicines expenditure. It will also save doctors around 500,000 hours a year by having patient data available on the spot and reducing the amount of time spent searching for information and inputting data which they will be able to spend on treating patients instead of admin.
Patients will also have more control over their care, with clear safeguards, audit trails and choice over how their data is used.
James Murray, Secretary of State for Health and Social Care, said:
Dr Alec Price-Forbes, National Chief Clinical Information Officer at NHS England, said:
Clinicians will get improved access to records as early as 2027 for specialties including maternity and frailty care.
At present, pregnant women are required to go through their entire medical history in a first appointment with a midwife, relying on memory. There can subsequently be gaps in information as women move through their pregnancy, and can be distressing for those who have suffered baby loss. The single patient record will stop this issue at source.
Dr Michael Cocker, consultant obstetrician at East Lancashire Hospitals NHS Trust, said it will “set a new benchmark” for maternity care while Dr Maurice Cohen, consultant geriatrician at North Middlesex Hospital and clinical director at the London Frailty Network, said the single patient record would mean the NHS is “wrapping ourselves around the patient rather than the patient wrapping themselves around us”.
The Bill will also cut layers of bureaucracy so more time and money can be spent on frontline services by formally transferring NHS England’s functions into the Department of Health and Social Care (DHSC) and the wider system.
Local leaders have complained of ‘2 centres’, creating confusion and inertia, and - most importantly - diluting democratic accountability for the NHS.
Abolishing NHS England will reduce duplication and free up resources to be reinvested in the frontline, with less time spent on administration and more time focused on delivering care while putting patients’ voices at the heart of decision making.
The NHS Modernisation Bill second reading comes on the day the chair of NHS’s groundbreaking new online hospital trust has been named. NHS Online, which will provide virtual specialist care for patients through the NHS App and video consultations, has now been formally established as the Online NHS Trust with John Browett as the Chairman.
Launching in 2027, NHS Online will be a new, optional online service allowing patients to digitally connect with clinicians across England. Doctors will be able to log in and help cut backlogs much more quickly and efficiently. It will deliver the equivalent of up to 8.5 million appointments and assessments in its first three years – four times more than an average trust – cutting waiting times for patients and improving lives by speeding up access to expert care.
This is further evidence of the government’s efforts to digitise the health service and bring it into the 21st century.
These developments follow the government hitting its interim target to cut the huge backlogs it inherited. The overall waiting list is at its lowest level in three and a half years, and that in March this year the waiting list fell by 110,000 – the largest improvement in performance for a single month in 17 years.
More care is now available on people’s high streets, with over 100 community diagnostic centres now open at evenings and weekends. The government has recruited an extra 2,000 GPs and almost 8,700 additional mental health workers. GP satisfaction rates are up from 60% in July 2024 to 75% in March 2026, and online booking requests are now available for GP appointments to help end the 8am scramble. Ambulance response times for conditions like strokes and heart attacks are three minutes faster than last year, and NHS productivity is up 2.8%.
Dr Deb Gompertz, Honorary Secretary and Vice President for Policy at the British Geriatrics Society, said: