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Increase of the character limit on Advice and Guidance requests and responses in the NHS e-Referral Service

To provide more comprehensive and clinically useful information in a single response without needing to truncate or omit important details, the character limit on Advice and Guidance (A&G) requests and responses has been increased from 2000 to 8000 characters.

Benefits

Providing the ability to add more text to A&G requests and responses means:

  • specialists provide more detailed, accurate, and nuanced clinical guidance, reducing ambiguity or the need for follow-up clarification
  • clinicians can focus on delivering high-quality advice rather than condensing or editing out important clinical information
  • elimination of inefficient practices such as sending attachments, splitting responses across multiple messages, or directing clinicians to external channels

Screen layout

When a significant amount of text has been added to a response or request this will display with a scroll bar on the screen.

advice and guidance response showing 8000 characters

If too many characters are added an error message is presented.

advice and guidance request error message when over 8000 characters added

Last edited: 17 September 2025 12:24 pm