GP Referrals

Referrals to Specialists

Seeing a Specialist

If you need specialist care, your GP can discuss whether a referral is the right option for you.

A referral will only be made if your GP feels it is medically needed for your care and treatment.

If you would like to see a specialist, such as a surgeon or women’s health doctor (gynaecologist), it is best to speak to your usual GP. They know your medical history and can help decide on the most appropriate next steps.

Before a Referral

Your GP may suggest:

• Tests or investigations
• Medicines or other treatments
• Monitoring your symptoms

This is because some health problems can improve without needing a specialist appointment.

In most cases, patients cannot book NHS specialist appointments directly without a GP referral. However, some services, such as sexual health clinics and emergency departments, can be accessed without a referral.

Referral Letters

If a referral is needed, your GP will send a referral letter to the specialist.

This letter includes important information about:

• Your medical history
• Current health concerns
• Any tests or treatments already completed

This helps the specialist understand your needs before your appointment.

Private Specialists

You can choose to see a private specialist if you wish.

Although it is often helpful to have a referral letter from your GP, this may not always be necessary. Please note that your GP is not required to follow recommendations made by a private specialist if they do not feel they are appropriate for your care.

Choosing a Hospital or Consultant

If you are referred for specialist treatment, you may be able to choose:

• Which hospital you attend
• Which consultant-led team looks after your care

This gives you more choice about where you receive your treatment.

Booking Your Appointment

Once your referral has been made, your first outpatient appointment can be booked in several ways:

• Your GP may book it while you are at the surgery.
• You can book online using the information provided in your referral letter.
• You can telephone the NHS e-Referral Service for assistance.

NHS Waiting Times

For non-urgent referrals, the NHS aims for patients to start consultant-led treatment within 18 weeks of being referred, unless:

• You choose to wait longer, or
• A longer wait is clinically appropriate for your condition.

If you have any questions about a referral, please speak to a member of our practice team.