Reasonable Adjustment Digital Flag
The Reasonable Adjustment Digital Flag is a visible digital marker available via the National Care Records Service (NCRS) which indicates that Reasonable Adjustments are required for an individual.
Contents
- Documentation
About this standard
- Publisher
- NHS England
- Also known as
- RADF
- Reference code
- DAPB4019 Amd 24/2025
- Publication date
- 19 December 2025
- Publication version
- 2.0.0
- Status
- Active
Show definitions of statuses
Active. Active standards are stable, maintained and have been approved, assured or endorsed for use by qualified bodies.
Deprecated Deprecated standards are available for use and are maintained, but are being phased out, so new functionality will not be added.
Retired standards Retired standards are not being maintained or supported and should not be used.
- Standard type
- Information standards
- Technical standards and specifications
Show definitions of standard types
Collections. A Collection is a systematic gathering of a specified selection of data or information for a particular stated purpose from existing records held within health and care systems and electronic devices.
Extractions. An extraction is a type of collection that is pulled from an operational system by the data controller and transmitted to the receiver without additional processing or transcription by the sender.
Information standards. Information standards are agreed ways of doing something, written down as a set of precise criteria so they can be used as rules, guidelines, or definitions.
Technical Standards and specifications. Technical standards and specifications specify how to make information available technically including how the data is structured and transported.
- Contact point
england.nhs.participation@nhs.net
Using this standard
The websites below provide key documents, reports, summaries, and resources such as training materials, implementation guidance, checklists, and further resources to support services, organisations, and local areas.
- Associated medias
- 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.
- Effective from
- 19 December 2025
Topics and care settings
- Topic
- Appointment / scheduling
- Clinical decision support
- Continuity of care
- Key care information
- Patient communication
- Referrals
- Care setting
- Community health
- Dentistry
- Hospital
- Maternity
- Mental health
- Pharmacy
- Social care
- Urgent and Emergency Care
Dependencies and related standards
- Dependencies
- Related standards
Review Information
- Scope
- Health Services, NHS Services, Adult Social Care
- Approval date
- 21 October 2025
- Technical Committee
Data Assurance Board (DAB)
Legal basis
- Link to Information Standards Notice (ISN)
- View the information standards notice
Information Standards Notices (ISNs) are published to announce new or changes to information standards published under section 250 of the Health and Social Care Act 2012
- Legal authority
Section 250 of the Health and Social Care Act 2012 This information standard is published under section 250 of the Health and Social Care Act 2012.
More information
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.
Page last updated: 13 May 2026