Making a good quality referral which includes all the key clinical information will help to make your patients hospital consultation more effective.
Much of it seems very obvious but it remains surprising how often key areas are omitted. Giving adequate, accurate and relevant information in a referral is an obligation of all doctors – see Good Medical Practice (GMC).
Remeber to include:
- Relevant medical history
- Blood and imaging results
- Current medication
- Medication that has been tried
- Any drug allergies
There are some links below which you may find helpful relating to writing referral letters.
Keep up to date with NICE guidance and local clinical pathways – a number of referrals are sent back from Camden Clinical Assessment Service (CCAS) for review because they do not appear to have followed these. Common clinical areas for referrals being sent back include:
- LUTS in men
- Heavy menstrual bleeding
- Renal failure (CKD 3 in particular)
If you are not sure whether you should make a referral then do talk with colleagues within your practice, or call CCAS (on 020 3317 3576) to speak to a CCAS Assessor.