Advice and Guidance

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Advice and Guidance allows the 'requesting' clinician to seek advice from a clinician at the provider hospital on:

  • treatment plan and/or patient management
  • test results
  • appropriateness of a referral (e.g. whether to refer, what the most appropriate alternative care pathway might be)
  • most clinically appropriate service to refer to (and how to find it)

See How to request Advice and Guidance document (August 2015) and an ERS article on how to make an A & G. A&G has been enhanced to provide 'multi-way' conversations, allowing the consultant to request further information from the GP and allowing the GP to ask one more question. 

Royal Free

Royal Free Advice and Guidance (September 2013) – e-Referral service


UCLH Advice and Guidance – UCLH are adding more A&G services to e-Referrals – currently they have: Cardiology, Diabetic Medicine, Ear, Nose & Throat (Children’s and Adults), Endocrinology, Gynaecology, Haematology, Infectious Diseases, Neurology, Orthopaedics, Respiratory Medicine, Rheumatology and Urology.

St Mary's

Imperial Advice and Guidance – email or telephone

Mental Health Teams

Mental Health Teams Advice and Guidance – email only