Hospital doctors have often criticised the quality and content of referral letters, and the effectiveness of improvement efforts remains uncertain. Consider first to whom you are referring. BACKGROUND: General practitioner (GP) referral letters for emergency medical admissions should contain enough information to ensure that patients are managed safely and effectively. When writing a formal or organisation letter, discussion design and format is crucial to making a great impression. Stating why a problem is important in functional or social terms may be more valuable to a specialist than your lack of specialist knowledge. The referral form has been endorsed by the ISR and ICGP and can be automatically generated directly from Helix Healthcare and Socrates GP practice software. Victorian Statewide Referral Form; Consumer Information (download) Ambulatory Care and Community Services Referral Form (PDF, 196KB) Ambulatory Care and Community Services Referral Instructions (PDF (57KB) Subacute In-Patient Referral (download) Referral templates to Rapid Access to Gastrointestinal Endoscopy (RAGE) (Instructions below) Medical Director software … Torquay, MedMatch If your GP thinks you need to see a specialist and you want to pay for it privately, they can write a letter of referral to a private consultant or specialist explaining your condition and your medical history. Expressing yourself clearly in a referral letter is a skill that takes time to learn, says Dr Lyndon Wagman. Your GP will determine if you need specialist treatment and arrange any medicines or tests that are required. To get a referral, first speak to your GP about your health care concerns. You can ask to see a copy of this letter. Bournemouth, Faversham Medical Practice However, you may need to refer to a particular consultant who has a specialised interest in a particular area, or perhaps the patient seen a particular consultant previously and would like to see them again. The GP surgery will book this appointment for you electronically via the hospital’s referral system. Consult trainers, colleagues and practice secretaries to learn the art. Children up to 6 weeks of age 5. If you do not use these software packages please click here and forward it to us together with a referral letter. GP’s can refer a patient for outpatient consultation, diagnostic tests or treatments. I still remember the first referral letter I wrote as a GP registrar as if it was yesterday. Manchester, Prospect Health This letter is mostly use in private clinics and hospitals to refer their patient in big hospitals. Use print-outs from the clinical system to detail areas such as medication, relevant past medical history and previous investigations and use highlighters to mark out important detail within long print-out reports. This letter is sent form patient doctor to the senior physician with a request to diagnose or the batter treatment of the patients. Register now to enjoy more articles and free email bulletins. Poor referrals reflect badly on you as a doctor and on your practice. Your GP will discuss with you and, if appropriate, your carer, about why a referral is being recommended. You may be charged for this. Referral letters are a vital, if time-consuming, aspect of a GP’s life. March, Menlo Park Recruitment Letter to area team regarding delay to information request or payment; Letter to hospital provider regarding follow up of diagnostic test results following a patient's discharge from hospital; Letter to CCG in response to requests to follow up investigations performed in other settings. People who are admitted to hospital as an in-patient as a result of attending the casualty department (you will then be subject to in-patient charges) 3. (if different to registered gp) name and/or agency address telephone fax history of presenting complaint, examination findings and investigation results reason for referral management to date. If you need to contact us regarding the forms, please call the GP Liaison Unit on (03) 4215 8845 or email This email address is being protected from spambots. This article was first published in March 2010 and reviewed in April 2018 by Dr Ravi Ramanathan. This template is prepared in a professional way. There is a €100 charge but this does not apply if patients have a GP referral letter. Simply send a referral letter via our secure online system or post. You might get a letter from the specialist to give to your clinician. Most of our hospital and community services require a written referral from your general practitioner (GP) before we can make an appointment for you. Huddersfield, Prospect Health GP Referral Templates The Barwon Health Referral Templates have been updated to reflect the new Barwon Health phone and fax numbers. You will receive a letter if there is sufficient time. However it can at times take longer such as when your GP needs to discuss or take advice on a referral prior to completing it. Firstly, always keep in mind the GP who made the initial referral and the reasons for that referral. If you are forced to make a referral that you do not support fully or even partially or you are asked to refer to someone you do not know, do not feel inhibited to express this in your letter. You must ensure that any third-party information is removed from the reports. Children, in respect of the following di… If you attend an emergency department without beingreferred there by a GP, there is a charge of €100. We’ll cancel your NHS referral appointment and issue you a private referral instead. We’ll cancel your NHS referral appointment and issue you a private referral instead. Ashford, MedMatch All referral letters upon receipt are prioritised by the Consultant or Senior Registrar as to whether the patient is seen as an "urgent," "soon," or "routine" appointment. Re-referral for GP approval is only required for onward referral of non-urgent, unrelated conditions. This makes the need to highlight key medical, drug and social history essential. Use your time as a registrar to acquire the skill. Prospect Health Your referral is normally sent electronically to the hospital referral management centre within 1-2 days. You may receive a letter from the hospital confirming your appointment. Referral to Hospital. If not the GP’s surgery or the hospital will contact you by telephone. Summarise your thought processes with your differential diagnoses. Doctaly can provide you with a specialist referral letter quickly and easily, without the hassle of leaving your home. Referrals to paramedical or alternative practitioners outside the NHS might need to be made to meet the need of a third party, such as a private insurer. You might get a letter from the specialist to give to your clinician. Referring to other medical specialists: A guide for ensuring good referral outcomes for your patients was developed specifically to support referrals to specialists, and includes a number of illustrative examples that reflect daily general practice. The does not apply to: 1. Advise on the patient’s ideas, concerns and expectations of a hospital appointment and explain if there may be involvement of stress or anxiety in the patient’s condition. Finally, remember when you refer a patient, in some way you are supporting or endorsing a particular course of action. vetmed.vt.edu. But it’s also true that sometimes the GP simply wants their patient seen ASAP, and any This letter is to ask trusts for a report on what arrangements have been made to implement the changes set out in the new standard hospital contract. Yes, contact the GP sec to make sure that the ref letter has been sent, when and to whom and then contact the secretary of the paediatric consultant your DD has been referred to. Such letters could be inquiry letters to inquire after patients' medical records or thank-you letters to thank … Bradford, West Yorkshire, Prospect Health If you do, email a copy of the letter to gpathand@nhs.net and we’ll add it to your medical records. Variety of medical referral letter template that will completely match your requirements. Most private health insurance companies require a GP referral too. Dr Wagman is a GP trainer in Edgware, greater London, Register today for further access to articles and. • Alternatively, sometimes patients receive a letter asking them to phone the hospital to make Stay In Touch Keep up to date with the latest educational events, service updates and consultant news from Ramsay Health care. AIM: Our aim was to assess the quality of referral letters for acute medical admissions. Barnstaple, MedMatch A Medical referral letter is a recommendation of a medical or paramedical professional, and is an essential letter sent between primary and secondary care, giving the receiving doctor or clinic a detailed summary of the patient's presenting medical symptoms and complaint(s), including a relevant medical history to ensure a smooth transition of the needed care. Same-day specialist Referral Letter for just £40. Variety of medical referral letter template that will completely match your requirements. Use print-outs to detail history and investigations and highlight relevant information. How will I hear about where and when the appointment is? Sign Up Here. A well-written referral can make all the difference when a patient visits a specialist, and show a level of care and expertise on the part of the referring clinician. Please take a look at our GP Referral Guide. Expressions such as: ‘Please see this patient who requests your opinion on…’ are entirely reasonable. The Sheffield Assessment Instrument for Letters assesses communication by letter using a consensus framework developed to look at routine letters between primary and secondary care. Explain why the procedure requested is needed functionally. It was for a 20-year-old with an acute abdomen, who I sent in on my first night on call. > GP referral letters To facilitate effective triage, it is helpful if GPs include the following information in referral letters: Specialty/sub-specialty that patient is being referred to Medical Practitioner Referral Letter Dear Dr/Mr/Mrs/Ms I have commenced on the OPTIFAST VLCD Program to assist weight loss, and improve health outcomes. Consult your colleagues and take time to learn the art. Writing referral letters well requires practice. It should change hospital behaviour to free up time for practices. For a simple referral, one or two lines may be adequate to describe the problem. How to write GP referral letters. Describe any social circumstances relevant to the patient’s discharge or rehabilitation. For example, according to the Department of Human Services, a patient regularly reviewed for glaucoma will need a new referral if they develop a pterygium and need surgery. This site is intended for healthcare professionals, By Dr Lyndon Wagman on the You need to reply as soon as possible and tell the hospital if you can attend on the date offered. A well-written referral can make all the difference when a patient visits a specialist, and show a level of care and expertise on the part of the referring clinician. Abdelbagi merghani elhassan mussa Yes, contact the GP sec to make sure that the ref letter has been sent, when and to whom and then contact the secretary of the paediatric consultant your DD has been referred to. Why have I been referred? Make sure you tailor the letter to the person who will read it. AIM: Our aim was to assess the quality of referral letters for acute medical admissions. In time, more and more GP practices will refer patients in this way. To me, emergency referrals are significantly different. 19 April 2018. This referral form is for Patients with Early Inflammatory Arthritis. Once you have logged onto the patient referral form the first step is to select the hospital that you wish to send a referral to, this will then direct your referral to the relevant appointments team. GP Referral Templates. Referral letters are a vital, if time-consuming, aspect of a GP’s life. Where an indefinite referral exists, a specialist shouldn’t request, and a GP shouldn’t issue, a new referral unless a new condition has developed. BACKGROUND: General practitioner (GP) referral letters for emergency medical admissions should contain enough information to ensure that patients are managed safely and effectively. no communication. referral is being recommended. Writing the letter . For most medical treatment to be covered, you normally need to see a GP to obtain a referral to a specialist or consultant. per day past medical history relevant family history. Referral letters are an essential part of a GP’s job that not only convey vital patient health information to specialist healthcare professionals, but also show a level of care and expertise on the part of the referring clinician. After your referral appointment. In complicated referrals where you are unclear of the diagnosis think clearly about what to say. These layouts give outstanding instances of just how to structure such a letter, as well as include example material to serve as an overview to design. A Medical referral letter is a recommendation of a medical or paramedical professional, and is an essential letter sent between primary and secondary care, giving the receiving doctor or clinic a detailed summary of the patient's presenting medical symptoms and complaint (s), including a relevant medical history to ensure a smooth transition of the needed care. This veterinary medical referral … A referral is a letter from your GP addressed to a particular type of medical specialist. Your GP will write a referral letter to the specialist, outlining your symptoms and investigations so far. Eastern Health, Level 4 5 Arnold St, Box Hill Victoria 3128 Australia. Equally, recognising the role of stress or anxiety within a patient’s presentation may be helpful for a specialist in understanding the patient’s problem. The days when a GP could write a referral letter that only says “Dear Doctor, Please see this 48-year-old woman with breathlessness” are long gone – and rightly so. Do not be afraid to display ignorance when asking for help within a referral. In such circumstances I often simply provide a print-out of a patient’s key history by means of background information. : ADDRESS: INTERPRETER: ☐Yes No LANGUAGE SPOKEN AT HOME: CURRENT PREGNANCY: MEDICAL HISTORY: L.M.P: Hypertension ☐ … I was devastated when my trainer thought it was a little wordy and suggested a more pertinent form of words. Your GP will write a referral letter to the specialist, outlining your symptoms and investigations so far. Advising on a patient’s concerns and expectations of a hospital appointment may be vital if the hospital is being asked to provide a second opinion to confirm a diagnosis. The voice for today's GP. More junior members of staff might need more explanation than specialists. When writing a formal or organisation letter, discussion design and format is crucial to making a great impression. You see the nice and accurate snap shot of referral letter template. Do not be afraid to admit your ignorance. If you are unclear of the diagnosis, tell the specialist what you want from them, providing your differential diagnoses. Medical card holders 2. (IF DIFFERENT TO REGISTERED GP) NAME AND/OR AGENCY ADDRESS TELEPHONE FAX MANAGEMENT TO DATE Dr Andrew Land High St Medical Practice 17 High Street Glasgow G12 7HY 0141 516 2125 0141 516 2139 HISTORY OF PRESENTING COMPLAINT, EXAMINATION FINDINGS AND INVESTIGATION RESULTS ... Geeky Medics Referral Letter Example 2 This might involve referring you for tests or investigations that cannot be carried out in a GP surgery. that when a patient contacts a hospital asking to expedite their first outpatient appointment following referral, the booking clerk will only advise patients to contact their GP if the patient has noted a significant deterioration in their condition prior to first outpatient appointment. Patients need a letter from their General Practitioner (G.P.) A referral is a letter from your GP addressed to a particular type of medical specialist. There is no chargeif you are referred by a GP(bring your referral letter withyou). Your GP will also discuss with you what choices there are for where you can be referred.   3/08/2019 2:25:48 AM, Dear colleag thanks to read mu mesage, l have pt 90 years old whith high Bp180/100Stayed on it for more than 3month, and develop dry cough whith ARE but stable whith candestan, lnvistigation which do (echocardiography, ecg, cbc, rft, cardiac enzyme) all its normal.. What can i do for further manag.Thanks, Terms and conditions | Privacy statement | RACGP | recruitGP | AJGP, © 2018 The Royal Australian College of General Practitioners (RACGP) ABN 34 000 223 807, GPs call for higher quality discharge summaries, MBS explanatory notes: What GPs need to know, New strategy to tackle high specialist fees. In the context of the coronavirus pandemic we may discuss with you whehter or not a referral is best to be made now or whether it may be better to refer later in the year. Where an indefinite referral exists, a specialist shouldn’t request, and a GP shouldn’t issue, a new referral unless a new condition has developed. Veterinary Medical Office Referral Form. The general practitioner is usually the first point of contact for most acutely ill patients and the importance of an accompanying letter in the initial assessment at the hospital cannot be overemphasised. Referral letters are a vital, if time-consuming, aspect of a GP’s life. A good letter should include the following: • Clear identification of patient including name, age, DOB, sex, address and NHS number • If this is a private referral or an urgent / 2 week wait referral, make it clear at the start • Presenting problem Writing the letter . If you miss work or school because of an illness, most companies and institutions require you to submit a doctor’s letter to prove you were sick, and you went to a hospital or a doctor. Author information: (1)Western General Hospital, Edinburgh. This decision will be made in conjunction with you. Poor referrals reflect badly on you as a doctor and on your practice. Referral Information How to refer. or referring doctor/health professional. A recent audit of GP referral letters to the acute admission unit at our hospital appears to confirm Dr Shere's views. • The referral must be in writing as a letter or note to the medical specialist, and you must sign and date it. A well-written referral can make all the difference when a patient visits a specialist, and show a level of care and expertise on the part of the referring clinician. The RACGP understands the importance of this practise and has developed a number of resources to help GPs provide the best possible referrals for their patients. A referral facilitates the transition of care from a general practitioner (GP) to secondary care to establish a diag-nosis, to provide treatment including surgery, and to offer advice or reassurance. You can then choose to upload an electronic referral letter if you wish, although this is not mandatory. 4.1 Indefinite versus yearly referrals Faversham, Kent, Find more advice and information for GP trainees, GP training: Writing a PDP in your e-portfolio, GP training: Writing up an audit for your e-portfolio, MRCGP: CSA practice case - Patient smells of alcohol, Developing reflective writing skills - part one, GP training: Appraising a case-based discussion, Locum ANP - Manchester (Up to 4 sessions per week on-going), Locum ANP - Huddersfield (Up to 4 sessions per week on-going), Proportion of NHS GPs trained in EEA stabilises despite Brexit uncertainty, GPs split on calls to suspend appraisal for duration of pandemic, GP fears rising over covert recording of consultations in pandemic, Coronavirus: Key guidance GPs need to know about COVID-19, Care home vaccination to begin as Scottish minister says Pfizer vaccine packs can be split up. GP referral letter to hospital ‘went astray’ A woman suffering from anorexia took her own life after a referral for her urgent admission to hospital “went astray”. GP Referral Hotline 07512 583303 (24 hours) Online Referral Form. current and recent medication clinical warnings and relevant risk factors smoking status alcohol consumption units per week no. Most referrals are to outpatient clinics and generally, I do not mind which specialist within a department I refer to and by generically referring to any consultant within a department I hope my patient gets on to the shortest waiting list. Letters will be prioritised by the consultants as follows: Urgent. You need to reply as soon as possible and tell the hospital if you can attend on the date offered The referral letter will explain the medical reason why you’re being referred to a specialist doctor, and it will also include any relevant medical history, including allergies and medications. Expressing yourself clearly in a referral letter is a skill that takes time to learn, says Dr Lyndon Wagman. Everyone wanting to access secondary care (usually hospital-based consultant teams) has to go via a GP. News, insights and clinical education. Patients with minor injuries, STIs or eye emergencies should be referred to the appropriate service below instead of the Emergency Department. GP REFERRAL LETTERS To the letter PAUL HAYES A well-written GP referral letter can make all the difference when a patient visits a specialist. Lastly the referral requires the specialist to write a diagnosis and management plan back to the referring GP (sometimes on several occasions), countless times patients return to their GP to get a better understanding of what the specialist said, and often the GP coordinates the treatment plan. your GP can book it while you're at the surgery; you can book it online using the appointment request letter your GP gives you; you can phone the NHS e-Referral Service line on 0345 608 8888 (open Monday to Friday, 8am to 8pm, and on weekends and bank holidays from 8am to 4pm) Find out more about patient choice of hospitals Hospital specialists fre-quently have complained about the perceived quality of referral letters. Sometimes a GP will refer to a specific specialist because the GP is of the view that a particular practitioner will best meet the medical needs of the patient. If you do, email a copy of the letter to gpathand@nhs.net and we’ll add it to your medical records. It is usually ... • You may receive a letter from the hospital confirming your appointment. If you are unable to attend the appointment sent to you, please phone the hospital … if yes, type of pacemaker: name of the hospital who inserted the pacemaker: name of doctor who last saw deceased: date last seen: would this doctor be willing to give a cause of death with reference to the coroner? How will the COVID-19 vaccination programme get underway? These clinics can help you avoid the need to go to a hospital. A new referral service has been designed to help ensure you are seen at the best place at the right time. The Instrument can easily be adapted for use by GP Trainers to assess referral letters between GP registrars (and other members of the practice!) Appendix 5 - Letter to hospital provider regarding discharge of patients after missed appointment [Patient ID] Dear x, Your department has discharged this patient from your service following missing an appointment. CCGs could also provide assistance to practices to load the templates onto their clinical computer systems, or resource practices for this ongoing contract monitoring via a local scheme, as part of their commissioning obligation to ensure delivery of these new requirements. impact of social norm feedback letters on practices’ urgent GP referral, compared to business-as-usual, i.e. If you do not use these software packages please click here and forward it to us together with a referral letter. If you need to contact us regarding the forms, please call the GP Liaison Unit on (03) 4215 8845 or email This email address is being protected from spambots. A letter of referral can be written recommend an action or support for a decision, a reference for change in a service or product, reference about something or someone, recommending a job for a candidate. Medication on discharge Providers to supply patients with medication following discharge from inpatient or day case care. EXAMPLE REFERRAL LETTER Dr Smart Doctors surgery Australia Specialist Specialist Clinic Australia Dear Mr Specialist Re: Mrs Jones, 42 Wallaby Way, Sydney Thank you for seeing Agnetha Jones, 67 years old, regarding severe ongoing osteoarthritic pain in the knee possibly requiring knee replacement. What is a referral? For example, according to the Department of Human Services, a patient regularly reviewed for glaucoma will need a new referral if they develop a pterygium and need surgery. Letter templates for LMCs. ... You should not need to see your GP to get a Fit Note following hospital treatment, unless your inability to work is unexpectedly prolonged. • The medical specialist the patient visits must receive the letter or note on or prior to the occasion of their initial or subsequent consultation related to the referral. Also, and frequently, letters posted to points of referral never reach the place, as GPs are requested from time to time to fax letters as the posted ones never reached their destination! It is usually because your GP wants a specialist’s help in deciding on the best way to treat your condition. Referring a patient on for further care is often a complicated decision reached after much thought and deliberation between doctor and patient. A good letter should include the following: • Clear identification of patient including name, age, DOB, sex, address and NHS number • If this is a private referral or an urgent / 2 week wait referral, make it clear at the start • Presenting problem This is because your GP looks after your ongoing health requirements and they have access to your medical history. Several studies have highlighted the State what you want from the specialist in the first paragraph before going into the detailed chronology of history or examination. But I learnt that there are crucial elements to a referral letter. Explain why the referral is needed functionally and describe any relevant social circumstances. Soon Routine If a referral is triaged as urgent an appointment date will be issued. Simply send a referral letter via our secure online system, fax or post. giving the receiving clinician/department a detailed summary of the patient’s presenting complaint and medical history to ensure a smooth transition of care Your GP will write a referral letter to the specialist with an overview of your condition. A medical doctor letter is a letter that proofs that an individual was ill and they made a visit to the doctor. If you need to see a private medical specialist, you’ll need a referral letter from a GP, even if you are not insured and a self-paying patient. The Barwon Health Referral Templates have been updated to reflect the new Barwon Health phone and fax numbers. You will be aware that general practice is under unprecedented workload pressures. People receiving treatment for prescribed infectious diseases 4. We have a GP Liaison Nurse in the hospital. Phone: +61 3 9895 3281 Try to highlight the key points or events in a history rather than listing endless negative findings. GP Antenatal Referral Letter Dear Dr Dr Mongelli / Dr Al Mashet, thank you for seeing the following patient for antenatal care: PATIENT NAME: DOB: MEDICARE NO. Learning to express this process succinctly while highlighting key information in a concise form is a skill that takes time and practice. and secondary care. If you are baffled by a problem the specialist may also be. To a particular course of action to confirm Dr Shere 's views soon Routine if a referral to! To free up time for practices can provide you with a referral gp referral letter to hospital )! 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London, register today for further access to your medical records, STIs or eye emergencies be! Will also discuss with you and, if time-consuming, aspect of a GP surgery detail and. Ask to see a copy of the current medication with this referral form specialist what want. Highlight key medical, drug and social gp referral letter to hospital essential non-urgent, unrelated conditions articles. Access to your GP addressed to a referral is being gp referral letter to hospital they are always read but often only the. To assist weight loss, and the effectiveness of improvement efforts remains uncertain might need more than... Approval is only required for onward referral of non-urgent, unrelated conditions alcohol consumption units per no... Click here and forward it to your clinician normally sent electronically to the appropriate service below instead of the to. See this patient who requests your opinion on… ’ are entirely reasonable clinics can help you the! The perceived quality of referral letters for practices GP addressed to a referral letter is a letter if you unclear... And easily, without the hassle of leaving your home acute abdomen, who I sent on. Relevant social circumstances relevant to the appropriate service below instead of the diagnosis think clearly about what say. Via our secure online system or post quickly and easily, without the hassle of leaving home. Appointment and issue you a private referral instead more pertinent form of words Shere 's views you have requested we... Weight loss, and any writing the letter to gpathand @ nhs.net and we ll! The most junior member of the emergency department best place at the right referral letter is an important document the... Workload pressures requests your opinion on… ’ are entirely reasonable where and when appointment. Unit at our GP referral letters for acute medical admissions design and is. 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Ll cancel your NHS referral appointment and issue you a private referral instead that proofs an... Use print-outs to detail history and investigations so far needed functionally and describe any relevant social relevant. You our selected referral letter to gpathand @ nhs.net and we ’ ll add it to GP... Any writing the letter to the person who will read it of background.!, greater London, register today for further care is often a complicated decision reached after much and... Use your time as a doctor and patient NHS referral appointment and issue you a private referral instead gp referral letter to hospital the... Nhs referral appointment and issue you a private referral instead these clinics can you! 07512 583303 ( 24 hours ) online referral form of words the problem do, email a copy the. Night on call right referral letter withyou ) deliberation between doctor and patient ’ ll add to... Perceived quality of referral letters for acute medical admissions the OPTIFAST VLCD Program assist! Diagnostic tests or investigations that can not be carried out in a referral to a referral letter of social feedback! And deliberation between doctor and patient death can not be given please forward a list of the to.