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EARL HEALTH TECHNOLOGY LTD

EARL

EARL offers health systems of all sizes the ability to make, manage and receive informed, safe, closed-loop, internal and external referrals electronically, with automated recommendation of referral routes. EARL is made by clinicians, for clinicians, and is therefore well received by clinical teams.

Features

  • Electronic referrals to ANY other service(s)
  • Optimise patient flow through emergent and unscheduled care
  • Integration with ANY other system(s)
  • Automated patient communication by SMS, email or automated phone call
  • Integration with NHS Spine, GP Connect, PDS etc
  • Clinical guidance and education portals with integrated governance tools
  • Offline mode for iOS/Android
  • Real time clinical performance / reporting / escalation tools

Benefits

  • Decreased hospital admissions
  • Reduced time to treatment by up to 95%
  • Automatically identify and prevent care delays
  • Reduced / removed referral administration burden
  • Improved clinical safety
  • Improved patient experience
  • Reduces clinical supervision burden
  • Increased clinician confidence and satisfaction
  • Distributed clinical workload across health ecosystems

Pricing

  • Free trial available

Service documents

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Framework

G-Cloud 15

Service ID

3 6 9 1 1 7 6 4 7 8 9 0 4 8 5

Contact

EARL HEALTH TECHNOLOGY LTD Leigh Rogers
Telephone: 01785908002
Email: contact@earl.health

About your service

Service categories

Applications

Production and operations

Service industry and public sector operations

  • Healthcare
  • Adult Social Care
  • Children's Social Care
Multi cloud support
Yes

Service scope

Software add-on or extension
No
Cloud deployment model
Public cloud
Service constraints
Not applicable
System requirements
A modern internet browser and reliable internet access

User support

Email or online ticketing support
Yes
Support response times
Normally same day if during office hours, or within 24 hours if submitted out of office hours.
User can manage status and priority of support tickets
Yes
Online ticketing support accessibility
WCAG 2.2 AA
Phone support
Yes
Phone support availability
24 hours, 7 days a week
Web chat support
No
Onsite support
Yes, at extra cost
Support levels
Every client is allocated a Client Success Manager (CSM) who acts as the single point of access for all their EARL needs. In the initial stages, the CSM will liaise with the client and their project team to manage the planning and deployment of EARL. Post deployment, the CSM will spend time at the client site to ensure optimum use of EARL applications and continue to make appropriate recommendations.

Support Services
A support ticket can be raised using the support portal within the EARL
applications, or by telephoning the UK based dedicated support helpline. Both are available and monitored 24/7.

Priority 1 (Critical) support tickets are managed 24/7/365 and with a target
resolution time of 2 hours. All others are managed during normal office hours with a target resolution time of 72 hours.
Support available to third parties
Yes

Onboarding and offboarding

Getting started
EARL is designed to be quick to adopt and easy to use in busy clinical environments. We provide a structured onboarding approach that supports services from initial setup through to confident day-to-day use.

Implementation and setup
We work with customers to configure pathways, referral rules, escalation logic, and user access in line with local clinical governance and operational requirements. Where required, we support integration with existing systems. Go-live is typically phased, allowing services to start small and scale safely.

Training
We provide live online training sessions tailored to different user roles, including referrers, receiving services, and managers. Training focuses on real-world workflows using local pathways. Sessions can be recorded and reused locally, and train-the-trainer sessions are available to support wider rollout.

User documentation
Clear, concise online user guides are provided, covering common tasks, workflows, and troubleshooting. Documentation is written for non-technical users and designed to be usable at the point of care. Release notes are shared for system updates.

Ongoing support
We provide responsive remote support via email and scheduled video calls, with additional post-go-live support to ensure safe and confident adoption.
Service documentation
Yes
Documentation formats
  • HTML
  • PDF
End-of-contract data extraction
When a contract ends, we support customers to extract their data in a clear, secure, and usable format.

Data can be exported on request in commonly used, non-proprietary formats (for example CSV, PDF, or structured data files), allowing it to be retained, transferred to another system, or archived in line with local information governance requirements. Exports can include referral records, associated documents, audit logs, and configuration data relevant to the customer’s use of the service.

Data extraction is provided via a managed process agreed with the customer to ensure completeness, accuracy, and security. Transfers are carried out using secure methods appropriate to the sensitivity of the data.

Following confirmation that data extraction has been completed, and subject to contractual and regulatory requirements, customer data is securely deleted from the live service in line with our data retention and destruction policies.

We do not charge additional fees for standard data extraction at contract end, and we provide reasonable support to ensure customers can exit the service safely and with confidence.
End-of-contract process
At the end of the contract, the customer may continue using the service until the agreed end date. Prior to contract termination, we work with the customer to agree a data extraction plan to ensure all customer data can be securely retrieved in line with information governance requirements.

Customer data can be exported in standard, non-proprietary formats. Once data extraction has been confirmed, and subject to contractual and regulatory obligations, customer data is securely deleted from the live service in accordance with our data retention and destruction policies. Where services are renewed or extended, no interruption to access or data occurs.

What’s included in the contract price
The contract price includes access to the EARL platform, standard configuration and onboarding, online training sessions, user documentation, routine system updates, hosting, security, backups, and standard remote support during agreed support hours.

Additional costs
There are no mandatory additional costs. Optional services, such as bespoke development, advanced integrations, data migration beyond standard exports, or on-site training (if requested), are quoted separately and agreed in advance.

This approach provides transparency, predictability, and a low-risk exit for customers.
Documentation accessibility standard
WCAG 2.2 A

Using the service

Web browser interface
Yes
Supported browsers
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
  • Opera
  • Other
Application to install
No
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
Users using mobile devices may have a variable experience, depending on the device being used and how the application is accessed.

We do offer native iOS and Android web applications, available from the respective app stores that ensure optimum experience.
Service interface
Yes
User support accessibility
WCAG 2.2 AA
Description of service interface
The service is accessed via a secure, web-based user interface delivered through a standard web browser, with no local software installation required. The interface provides role-based access for clinical and administrative users, enabling users to create, review, route, and manage electronic referrals and associated clinical information. The interface uses standard UI components and patterns, offering consistent navigation, form-based data entry, dashboards, and notifications. The design supports keyboard navigation, screen readers, and responsive layouts to support a range of devices and accessibility needs.
Accessibility standards
WCAG 2.2 AA
Accessibility testing
The service interface is built using standard UI components and patterns, which are designed and tested by the platform vendor to support assistive technologies including screen readers, keyboard-only navigation, and screen magnification, in line with WCAG 2.2 Level AA principles.

EARL Health Technology undertakes functional accessibility checks during development, including keyboard navigation testing, focus visibility, form labelling, and contrast checks. Where custom functionality is introduced, accessibility considerations are reviewed to ensure compatibility with assistive technologies.

To date, formal user testing with assistive technology users has not been undertaken; however, accessibility issues identified through user feedback or operational use are assessed and addressed as part of ongoing service improvement.
API
Yes
What users can and can't do using the API
As part of our integration and automation commitment, EARL assures users that any action that can be undertaken by a user within the application itself, can also be automated via an API. The scale of the application means that it is not possible to detail all of those functions here.
API documentation
Yes
API documentation formats
  • Open API (also known as Swagger)
  • HTML
  • PDF
API sandbox or test environment
Yes
Customisation available
Yes
Description of customisation
EARL is designed to fit seamlessly into existing clinical workflows, rather than requiring clinicians to adapt to rigid software processes. The service can be customised to reflect how services already work in practice. Customisation options include layout and screen design, referral workflows, forms and data fields, information displayed to users, pathway logic, and selected automated functions. Some configuration can be performed directly by authorised local users via role-based access, while more advanced or structural changes are delivered in collaboration with the EARL support team. In short, EARL is designed to accommodate clinical services and their ways of working, not the other way around.

Scaling

Independence of resources
EARL is hosted on a scalable, cloud-based infrastructure designed to handle variable demand without degrading performance for individual customers. System resources automatically scale to meet usage levels, ensuring consistent performance as demand increases.

Customers are logically separated within the platform, with data and workloads isolated to prevent one organisation’s activity affecting another. System performance is continuously monitored, and capacity is proactively managed to maintain availability and responsiveness.

This approach ensures all users receive a reliable and predictable service, regardless of overall platform demand.

Analytics

Service usage metrics
Yes
Metrics types
EARL provides operational and governance metrics to support safe and effective service delivery. Metrics include referral volumes by pathway and service, referral status tracking, timeliness measures such as time to read and SLA compliance, breach and escalation monitoring, workload and demand trends, and user activity audit logs.

Metrics are available through dashboards and reports and can be filtered by pathway, service, organisation, and date range. Data can also be exported in standard formats to support local reporting, audit, and service improvement.
Reporting types
  • API access
  • Real-time dashboards
  • Regular reports
  • Reports on request
Resource tagging
No
FOCUS resource tagging
No

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Conforms to BS7858:2019
Government security clearance
Baseline Personnel Security Standard (BPSS)

Asset protection

Knowledge of data storage and processing locations
Yes
Data storage and processing locations
  • United Kingdom
  • European Economic Area (EEA)
User control over data storage and processing locations
Yes
Datacentre security standards
Complies with a recognised standard (for example CSA CCM version 4.0)
Penetration testing frequency
At least once a year
Penetration testing approach
‘IT Health Check’ performed by a CREST-approved service provider
Protecting data at rest
  • Physical access control, complying with CSA CCM v4.0
  • Physical access control, complying with SSAE-18 / ISAE 3402
  • Physical access control, complying with another standard
  • Encryption of all physical media
Data sanitisation process
Yes
Equipment disposal approach
A third-party destruction service
Data sanitisation type
Data Erasure

Data importing and exporting

Data export approach
Users export their data through a secure, managed process. Authorised users can request exports of referral records, associated documents, audit logs, and relevant configuration data. Data is provided in standard, non-proprietary formats such as CSV for structured data and PDF for documents.

Exports are transferred using secure methods appropriate to the sensitivity of the data, including encrypted file transfer or secure download links. Support is provided to agree scope, validate outputs, and confirm successful receipt. Data export is available during the contract and at contract end, with no vendor lock-in.
Data export formats
CSV
Data import formats
  • CSV
  • ODF

Data-in-transit protection

Data protection between buyer and supplier networks
  • Private network or public sector network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
Data protection within supplier network
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway

Availability and resilience

Guaranteed availability
EARL's standard minimum service guarantee is 99.50%.
We can provide a 99.90% SLA at additional cost.
Approach to resilience
EARL is designed to be resilient by default, supporting clinical services that require high availability and data protection.

The service is hosted on secure, cloud-based infrastructure using multiple availability zones within the UK. This ensures that failure of a single component, server, or datacentre does not result in loss of service. Core platform components are deployed redundantly, with automated failover and load balancing to maintain availability during infrastructure or component failures.

Data is stored using resilient storage services with replication across multiple locations, protecting against data loss and supporting rapid recovery. Regular automated backups are performed, and tested restoration procedures are in place to ensure data can be recovered in the event of an incident.

The platform is continuously monitored for performance, availability, and security events. Alerts are triggered automatically, enabling rapid investigation and remediation. Capacity is proactively managed to ensure the service continues to operate effectively during periods of increased demand.

Access controls, logical tenant separation, and encryption in transit and at rest protect customer assets and data.

Further details of our datacentre architecture, resilience measures, and disaster recovery arrangements are available on request under appropriate confidentiality.
Outage reporting
We use a public dashboard and email alerts for some types of outages.

Identity and authentication

User authentication needed
Yes
User authentication
  • Multi-Factor Authentication (MFA)
  • Identity federation with existing provider (for example Google Apps)
  • Username or password
Access restrictions in management interfaces and support channels
Access to management interfaces is strictly restricted to authorised personnel using role-based access controls and the principle of least privilege. Administrative access is limited to named individuals, protected by strong authentication, and logged for audit purposes. Access rights are reviewed regularly and immediately revoked when roles change or staff leave.

Support channels are similarly controlled. Only authorised customer contacts can raise support requests, and sensitive information is shared through secure channels only. Identity is verified before discussing service configuration, data, or incidents.

All access to management and support systems is monitored and auditable, ensuring accountability, traceability, and protection of data.
Access restriction testing frequency
At least every 6 months
Management access authentication
  • Multi-Factor Authentication (MFA)
  • Identity federation with existing provider (for example Google Apps)
  • Username or password

Audit information for users

Access to user activity audit information
Users have access to real-time audit information
How long user audit data is stored for
User-defined
Access to supplier activity audit information
Users contact the support team to get audit information
How long supplier audit data is stored for
User-defined
How long system logs are stored for
User-defined

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
No
Security governance approach
EARL’s security governance is aligned to the principles and control framework of ISO/IEC 27001. We operate a formal information security management approach covering risk assessment, access control, incident management, supplier assurance, and continuous improvement.

Security risks are identified, assessed, and managed through documented policies and regular review. Access to systems and data is role-based and follows the principle of least privilege. Security incidents are logged, investigated, and addressed through defined processes.

Our governance approach ensures confidentiality, integrity, and availability of customer data and is reviewed and updated to reflect emerging risks and best practice
Information security policies and processes
EARL operates a defined set of information security policies aligned to the principles of ISO/IEC 27001. These include policies for information security management, access control, data protection, incident management, asset management, business continuity, and supplier assurance.

Security governance is led by a named senior responsible owner, with operational responsibility delegated to designated security and technical leads. This reporting structure ensures clear accountability, escalation routes, and oversight at both strategic and operational levels.

Policies are documented, version controlled, and reviewed regularly to ensure they remain effective and reflect changes in risk, regulation, or service design. Compliance is supported through role-based access controls, secure system configuration, audit logging, and routine monitoring.

All staff and contractors are required to follow information security policies and receive appropriate security awareness training. Incidents and near-misses are recorded, investigated, and used to inform continuous improvement.

This approach ensures policies are embedded in day-to-day operations and consistently applied across the service.
Software Security Code of Practice
Yes

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
EARL uses defined configuration and change management processes aligned to ISO/IEC 27001 principles. All service components, including application code, infrastructure, and configuration, are version-controlled and tracked throughout their lifecycle across development, test, and production environments.

Changes are formally logged, reviewed, and approved before implementation. Each change is assessed for operational and information security impact, including risks to confidentiality, integrity, and availability. Changes are tested in non-production environments prior to release, with controlled deployment and rollback procedures in place. Emergency changes are documented and reviewed retrospectively.
Vulnerability management type
Complies with a recognised standard, for example CSA CCM v4.0 or SSAE-18 / ISAE 3402
Vulnerability management approach
EARL’s vulnerability management process aligns with the Cloud Security Alliance Cloud Controls Matrix (CCM) v4, including controls for threat identification, vulnerability assessment, and remediation.

Potential threats are identified through continuous monitoring, regular vulnerability scanning, dependency analysis, and risk assessment against service architecture. We assess impact and likelihood in-line with CSA CCM risk management and change control principles.

Patches and security updates are prioritised and deployed promptly, with critical patches applied as soon as practicable following testing. Threat intelligence is sourced from cloud service providers, vendor advisories and NCSC guidance

This approach ensures timely mitigation and continuous protection of the service.
Protective monitoring type
Complies with a recognised standard, for example CSA CCM v4.0 or SSAE-18 / ISAE 3402
Protective monitoring approach
Protective monitoring

EARL operates protective monitoring processes aligned with CSA CCM v4 controls for logging, monitoring, and incident response. System, application, and access logs are collected and monitored to identify potential compromises, including unauthorised access, anomalous behaviour, and service misuse.

Alerts are automatically generated for suspicious events and reviewed promptly by designated technical and security staff. When a potential compromise is identified, incidents are logged, contained, investigated, and remediated in line with defined incident response procedures.

Response times are risk-based, with critical security incidents investigated immediately and acted upon without undue delay to protect service availability and customer data.
Incident management type
Supplier-defined controls
Incident management approach
EARL operates defined incident management processes aligned with ISO/IEC 27001 and cloud security best practice. Pre-defined procedures are in place for common incident types, including service outages, security events, and data protection incidents.

Users report incidents via email or agreed support channels, with automated monitoring also generating alerts. All incidents are logged and triaged by both technical and clinical specialists to assess severity, clinical risk, and urgency. Appropriate escalation, containment, and resolution actions are taken based on impact.

Incident reports are available on request and include a summary of the incident, impact, actions taken, and preventative measures.
Post-quantum cryptography secure
No

Secure development

Approach to secure software development best practice
Conforms to a recognised standard, but self-assessed

Public sector networks

Connection to public sector networks
Yes
Connected networks
Health and Social Care Network (HSCN)

Pricing

Discount for educational organisations
No
Free trial available
Yes
Description of free trial
EARL provides a time-limited free trial with access to the full, unrestricted product. This allows customers to demonstrate real-world success using live workflows. The trial includes standard features and support but excludes bespoke development, custom integrations, and on-site training.

Discount percentage by annual call-off contract value (excluding VAT)

Less than £250,000
0%
Between £250,000 and £500,000
5%
Between £500,001 and £1,000,000
10%
Between £1,000,001 and £2,500,000
10%
Between £2,500,001 and £5,000,000
20%
Over £5,000,001
30%

Non-mandatory Standards and certifications

ISO/IEC 27001 certification
No
ISO 28000:2022 certification
No
ISO 9001 certification
No
Quality management systems (QMS)
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
No
Cyber Essentials Alternative
In relation to the services you do not have a current and valid Cyber Essentials certificate which has been awarded by one of the government approved Cyber Essentials accreditation bodies but you are working towards gaining it, and will be in a position to confirm that you have been awarded a current and valid Cyber Essentials certificate by one of the government approved accreditation bodies within 12 months of the date of award.
Cyber essentials plus
No
Cyber Essentials Alternative
In relation to the services you do not have a current and valid Cyber Essentials Plus certificate which has been awarded by one of the government approved Cyber Essentials accreditation bodies but you are working towards gaining it, and will be in a position to confirm that you have been awarded a current and valid Cyber Essentials Plus certificate by one of the government approved accreditation bodies within 12 months of the date of award.
Other security certifications
Yes
Any other security certifications
DCB1596 - NHS Digital Secure Email Standard

Social value

Section B - Commitment for Future: Delivery
  • Mission: Kick start economic growth. To secure the highest sustained growth in the G7 - with good jobs and productivity growth in every part of the country making everyone, not just a few, better off.

    Policy Outcome 1: Fair work: That offers fair wages and good working conditions. Help people get a job, stay in work, and progress in their careers, with good employment opportunities across the country. Notes: Where there is a large proportion of labour costs in the contract, commercial teams should consider MAC in Outcome 1 as a priority

    • New or retained jobs on the contract workforce in the relevant area that meet the criteria set out in MAC 1b, 1c and 1d
    • New apprenticeships on the contract workforce in the relevant area that meet the criteria set out in MAC 1b
    • Providing opportunities for, and measuring and monitoring of, staff workforce conditions over time, including employee engagement, involvement in decision-making and satisfaction and adapting to any changes in the results, with clear processes for acting on issues identified
    • Plans to engage the contract workforce in deciding the most important workplace issues to address
    • Ensuring new workers are informed of their right to join a trade union
    • Monitoring of employee engagement rates (by protected characteristic) and, where necessary, the development of actions to ensure all voices are heard across the diversity of the workforce
    • Employment contracts that reflect actual hours worked; steps taken to ensure employees understand their contracts and have the ability to review and adjust them if actual hours regularly exceed contracted hours
    • Activities that support an environment where staff are educated about, and feel empowered to, address their physical wellbeing
    • Activities that support an environment where staff are educated about and feel empowered to report and address bullying and harassment
    • Activities to cascade good practice on fair working conditions throughout the supply chain
    • Offer a pay and leave entitlement to all eligible staff who become kinship carers, ideally equivalent to statutory adoption pay and leave
    • Payment of more than the National Minimum Wage or National Living Wage (as appropriate) to the contract workforce
    • Monitoring and reporting of gender and ethnicity pay gaps and plans to address them where necessary
    • Entitlement to sick pay for the contract workforce, with provision in place for any staff who do not meet the earnings threshold for statutory sick pay, payment of sick pay from day one of absence and payment of staff on the contract workforce who are off sick a replacement income of 100% of their usual earnings for as long as possible
    • Plans for an appropriate income replacement policy for staff who are required to spend time away from work to care for a sick dependent or close relative
    • Understanding of in-work progression issues affecting the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors
    • Measures to support in-work progression to help people in the contract workforce, to move into higher paid work by developing new skills relevant to the contract
    • Support for the contract workforce by providing career advice, and providing opportunities for staff working on the contract with in-work progression career development into known skills shortages or high growth areas
    • Support for educational attainment relevant to the contract, including training schemes that address skills gaps and result in recognised qualifications
    • Volunteering opportunities for staff
    • Understanding of the modern slavery risks and issues affecting the market, industry, sector or country (of origin or of source) relevant to the contract, and the workforce in the supplier’s own organisation and those of its key subcontractors
    • Measures to identify, mitigate and manage modern slavery risks relating to the contract and how these will be implemented
    • Outline policies and practices to be applied to or put in place for the contract to mitigate and manage modern slavery risks, including: Pre-employment checks, recruitment practices. Workplace conditions, safeguarding plans and processes in place and regular monitoring with relevant groups considered, which may include sampling
    • How these flow down the supply chain and are monitored Illustrative examples include reporting, site visits, audits, etc.
    • How to ensure business decisions re: price/cost, short lead times, payment timescales do not create modern slavery risks in the supply chain
    • How the supplier will work with NGOs, trade unions or other businesses to address modern slavery risk
    • Means of influencing staff, suppliers, customers, communities and/or any other appropriate stakeholders with respect to modern slavery risks relating to the contract
  • Mission: Make Britain a clean energy superpower: To cut bills, create jobs and deliver security with cheaper, zero-carbon electricity by 2030, accelerating to net zero

    Policy Outcome 4: Sustainable procurement practices: Reducing carbon footprints, minimising waste, and promoting the use of clean energy and green technologies.

    • Understanding of opportunities for additional environmental benefits delivery in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
    • Collaborative ways of working with the supply chain to deliver additional environmental benefits in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
    • Delivery of additional environmental benefits through the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
  • Mission: Break down barriers to opportunity: By reforming our childcare and education systems, to make sure there is no class ceiling on the ambitions of young people in Britain

    Policy Outcome 6: Employment and training: For those who face barriers to employment

    • Understanding of the issues affecting the representation of disabled people in the workforce in the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors
    • Collection of the views and expertise of disabled people and their representative organisations on successfully supporting disabled employees or applicants
    • Inclusive and accessible recruitment practices, and retention-focused activities, including those provided in the Guide for line managers on recruiting, managing and developing people with a disability or health condition
    • Introducing transparency to pay and reward processes
    • Offering a range of quality opportunities with routes of progression if appropriate, e.g. T Level industry placements, students supported into higher level apprenticeships.
    • Working conditions which promote an inclusive working environment and promote retention and progression
    • Other measures to provide equality of opportunity for disabled people and those with health conditions into employment, including becoming a Disability Confident employer and inclusion of supported businesses in the contract supply chain
  • Mission: Build an NHS fit for the future: That is there when people need it; with fewer lives lost to the biggest killers; in a fairer Britain, where everyone lives well for longer.

    Policy Outcome 8: Increasing productivity through physical and mental wellbeing: In the supply chain and communities in the relevant area.

    • Understanding of issues relating to health and wellbeing, including physical and mental health, in the contract workforce
    • Understanding barriers to access to health and social care services or employment opportunities e.g. digital inclusion
    • Inclusive and accessible recruitment practices, development practices and retention policies that support-focused activities including those provided in the Guide for line managers on recruiting, managing and developing which support people with a disability or health condition
    • Actions to invest in the physical and mental health and wellbeing of the contract workforce

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at contact@earl.health. Tell them what format you need. It will help if you say what assistive technology you use.