---
title: "SPoA by October: Stand up your top 10 specialties | Isla Health"
description: NHS trusts must have their top 10 specialties live on SPoA by October 2026. This white paper covers the operational realities, the pathway, and how to get ready.
image: https://connect.isla.health/hubfs/SPoA%20whitepaper_Isla%20Health_2026_FINAL.png
---

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**Single Point of Access** |**GIRFT-aligned pathways**

 

# **SPoA**

# **Is your trust ready?**

**Most trusts are solving SPoA in pieces: e-RS stitched to spreadsheets, or an A&G tool that stops at the referral decision. The mandate asks for more.**

**NHSE mandate:** 

**Every case:** triaged by a named, accountable consultant

**Oct 2026:** top 10 specialties live via SPoA

**Mar 2027:** all elective referrals through SPoA

**What's inside:**

- How to plan for: RTT clock, consultant-led triage, diagnostic ownership
- Why SPoA needs GIRFT-aligned pathway orchestration, not just a referral tool that stops at the decision
- How to stand it up as a configuration exercise, not a build

[View the one-page summary](https://connect.isla.health/hubfs/Isla%20for%20SPoA%20%E2%80%94%20Executive%20One-Pager%20(v2).pdf?hsLang=en) [Read the white paper](https://connect.isla.health/hubfs/SPoA%20whitepaper_2026_Isla%20Health.pdf?hsLang=en)

![SPoA whitepaper\_Isla Health\_2026\_FINAL](https://connect.isla.health/hubfs/SPoA%20whitepaper_Isla%20Health_2026_FINAL.png)

![SPOA Flow Transparent](https://6100340.fs1.hubspotusercontent-na1.net/hub/6100340/hubfs/SPOA%20Flow%20Transparent.png?width=1200&length=1200&name=SPOA%20Flow%20Transparent.png)

![Sinus SPoA pathway example ](https://6100340.fs1.hubspotusercontent-na1.net/hub/6100340/hubfs/fafafa.png?width=1200&length=1200&name=fafafa.png)

![Isla\_Logo\_Orange\_Transparent-1](https://connect.isla.health/hubfs/Isla_Logo_Orange_Transparent-1.svg)

The digital pathway platform and a UKCA-marked Class 1 medical device for healthcare providers that turns repetitive clinical tasks into intelligent, scalable workflows, proven to boost productivity, capacity, and patient flow. 

 

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