UK Government Announces NHS Online Hospital to Transform Patient Care and Reduce Waiting Lists

The UK Government has unveiled plans for a groundbreaking “online hospital” service, NHS Online, set to launch in 2027. The initiative aims to modernize the NHS, cut waiting lists, and provide patients across England with quicker, more convenient access to specialist care from the comfort of their homes.
Designed to complement existing NHS services, NHS Online will allow patients referred by their GP to consult specialists via video or phone, reducing the need for in-person hospital visits. The platform will initially focus on specific conditions and gradually expand, building on successful digital triage and remote outpatient programs already deployed at hospitals such as University Hospital Southampton.
Early trials in Southampton have demonstrated the potential impact: consultant-led outpatient appointments dropped by 73%, more than 75% of inflammatory bowel disease (IBD) patients were managed virtually, and waiting times fell by 58%. These results showcase the efficiency and patient-cantered approach NHS Online aims to bring nationwide.
Health Secretary Wes Streeting highlighted the patient benefits:
“For some patients with suitable conditions, NHS Online will offer a faster, more convenient route to specialist care. Instead of multiple visits to GP surgeries and hospitals, patients can be assessed digitally, receive treatment plans, or be directed to diagnostic centres, all from home or work. It’s faster, safer, and more convenient.”
The service will leverage the NHS app, which currently boasts 38.5 million downloads and over 12 million monthly active users. This digital expansion will help clinical teams assess urgency, streamline care pathways, and enhance patient control over appointments. Importantly, patients will retain the option for traditional in-person consultations if they prefer.
While NHS Online has been widely welcomed by healthcare experts as a bold step toward digital transformation, questions remain about implementation, staffing, and patient accessibility. Daniel Elkeles, CEO of NHS Providers, praised the ambition but cautioned:
“This is an exciting initiative, but the benefits must not destabilize essential hospital services that patients rely on.”
Dr. Tom Dolphin of the British Medical Association emphasized the importance of dedicated staffing and proper patient guidance:
“Doctors are already stretched across the NHS. Any online service must ensure safe, structured pathways for patients, similar to the guidance provided by GPs.”
Policy expert Dr. Becks Fisher of the Nuffield Trust added that careful targeting will be essential to ensure NHS Online serves patients safely and equitably, particularly those with sufficient digital literacy.
NHS Online represents a transformative step in the digital modernization of the NHS, aiming to reduce delays, improve patient experience, and optimize resource use across England. By combining cutting-edge technology with established care pathways, the service has the potential to revolutionize outpatient care while supporting the broader mission of delivering faster, safer, and more accessible healthcare for all.