The referral tool clinicians actually love

Refer any patient to any service in under 2 minutes safely, securely, and without the faff.

350 K

Patient interactions on behalf of

Smarter Referrals

Built by NHS clinicians to fix what frustrates NHS clinicians

Super simple referrals

Complete a referral in less than 2 minutes. No more searching for the right form, bookmarks, faxes, or scanned PDFs.

Safer processes

Safety-netting is built in. Clinicians see up-to-date guidance, mandatory fields, and receive alerts to reduce patient risk.

Instant patient messages

Patients are notified of referral steps in plain English, via SMS, WhatsApp, or email—sent securely from your Trust.

Real-time oversight

Automatically tracks referral trends, flags bottlenecks and prevents care delays. EARL gives managers and ICSs the visibility they’ve never had.

Referrals without borders

Refer to any service, in the world in under 60 seconds.

With EARL, every referral starts the same way—one simple, NHS-integrated portal. Referrals take under a minute and are safety-monitored to ensure they’re delivered, read on time, and automatically escalated if they’re not.

The result? Clinicians move faster, referrals land first time, and patients get where they need to be, quicker.

And yes – you really can refer to any pathway in the world!

Built for integrated care

With EARL, clinicians can refer patients to any service—across departments, Trusts or ICSs—without barriers. It makes truly connected, integrated care not just possible, but effortless.

Instant setup, zero red tape

New pathways are added in days, not months. EARL’s team handles the onboarding, so services don’t need IT projects or contracts to join the network.

More than just a faster form

Transforming the whole pathway—without trying

When referrals are instant and effortless, everything else improves. Clinicians move faster. Quality goes up. Bottlenecks go down. And services that were once underused suddenly get the patients they’re designed to help.

Designed for both ends of the pathway

Receiving services can use EARL too (if they want to)

Receiving services don’t need to log in. EARL delivers referrals however they choose—email, system integration, SMS, automated call or letter. But if they do use EARL, they get much more.

EARL integrates all referral routes into one live dashboard, enabling services to triage, stream, onwardly refer and manage workload in one place. Admin overhead drops dramatically, freeing staff for higher-value work. Triage becomes faster, safer and more consistent.

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What do the users say?

Loved by clinicians (..and executives!)

For the past five years, our ED has used EARL to host and manage our clinical guidelines and learning content, alongside serving as the single point of access for all referral pathways for the last three years. Its intuitive design and robust safety features have made it a trusted tool for efficiently sending and managing referrals. The platform’s automated patient communication, escalation, and reporting tools provide real-time visibility into referral progress, enabling us to address delays proactively and prevent disruptions in care. With documented evidence of hundreds of patients benefiting from timely interventions, EARL has become integral to our strategy for delivering high-quality, safe, and responsive emergency care.

Asif Naveed

Clinical Director, Acute & Emergency Services

EARL has been a brilliant development for our Emergency Department. Not only does it allow clinical colleagues to access guidelines, teaching and educational materials in one easy-to-use app, but it has also enabled us to improve the safety and efficiency of our clinical processes. For example, having auditable electronic referrals from ED to other specialties saves clinician time, supports an accurate clinical record, and strengthens our clinical governance by documenting such referrals in a structured, auditable way. It is a fantastic innovation, developed by ED staff for ED staff.

Ned Hobbs

Chief Operating Officer

EARL Clinic is absolutely central to how we run the Virtual Fracture Clinic. It allows us to review referrals in real time, discharge around 25% of patients safely without a face-to-face appointment, and keep patients updated instantly by SMS and letter. Without EARL, we would face increased costs, clinic overload, longer delays, and poorer patient experience. It has transformed the service and is now essential to its safe and efficient running.

John Blackwell

VFC Lead - Trauma & Orthopaedic Surgeon

EARL is so, so easy to use. Clinician feedback is excellent, especially with regards to time saving and automating of workflows. The teams are excited for how they plan to design their individual ward needs for referrals, training, education and information. 

Facilitating referrals between the hospital and CNC/SPA means that referrals are now easier, faster, safer and more robust than ever before and has contributed to us achieving a 91% occupancy rate across our virtual wards. The EARL team have supported and accommodated every query and development request along our journey to date.

Donna Roberts

Interim Director of Operations, Medicine and Long Term Conditions

Clinician Feedback

Latest feedback from acute medical and emergency department clinicians

EARL easy to use iconA navy circular outline containing a simple interface button, a cursor click, and a small blue tick to represent ease of use.

100%

of clinicians say
EARL is easy to use for clinical referrals

EARL clinical safety iconA navy circular outline containing a clean clinical waveform to represent clinical safety and patient stability.

93%

of clinicians say
EARL improves the clinical safety of referrals

EARL efficiency iconA navy circular outline containing a sky blue upward-trending bar chart representing improved efficiency.

93%

of clinicians say
EARL improves referral efficiency

EARL preference iconA navy circular outline containing two simplified system tiles, with the right tile selected using a blue check mark to represent clinicians preferring EARL over previous methods.

100%

of clinicians say
They would rather use EARL than their previous system or method

9 minutes

according to clinicians
is the average time saved, per referral, using EARL

EARL best system iconA navy circular outline containing a simple trophy to represent best clinical system.

90%

of clinicians
say EARL is the best clinical app they've ever used

EARL Electronic Referrals