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The Elective Edge: Mastering Mandatory A&G, SPoAs, and Secondary-to-Secondary Triage
Who should read this: Finance and Service Managers, Clinical Directors, IT Managers, Pathway Coordinators, Digital Transformation Specialists, and ICB Commissioning Leads. Quick Summary NHS England is accelerating its elective care reforms. With the embedding of Mandatory Advice & Guidance (A&G) into core GP arrangements and the rollout of regional Single Points of Access (SPoAs), the goal is ambitious but necessary: deflect up to 25% of low-value outpatient demand. Simultane
3 min read
EEMAC and the Digital Front Door – A Strategy for Urgent & Emergency Care
Who should read this: Emergency Department (ED) Leads, Service Managers, Clinical Directors, Urgent & Emergency Care (UEC) Pathway Coordinators, and Digital Transformation Teams across NHS Trusts. Quick Summary In early 2026, NHS England published the Model Emergency Department guidance and the Extended Emergency Medicine Ambulatory Care (EEMAC) Operating Principles. The goal? To drastically reduce A&E wait times by establishing structured ambulatory pathways for patients who
3 min read
Compliance with the 2026 Mandatory A&G and Single Point of Access (SPoA) Directives
The 2026 Regulatory and Financial Landscape As of April 2026, NHS policy and the updated GP contract strictly mandate the use of Advice and Guidance (A&G) prior to all planned care referrals.
2 min read
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