Who should read this: ICB Commissioning Leads, Clinical Safety Officers, Clinical Directors, Service Managers, Pathway Coordinators, and Digital Transformation Teams. Summary Recent weeks have brought two major reports that are sending ripples through NHS referral management. First, the Health Services Safety Investigations Body (HSSIB) published a critical interim report warning of significant safety gaps in how Advice & Guidance (A&G) and Single Point of Access (SPoA) model