Understanding Your NHS Referral
When you see your GP about a condition that may need specialist treatment, there are several steps that help make sure you get the right care, in the right place, as quickly and safely as possible.
Specialist Advice Before a Referral
Your GP may ask a specialist for advice before sending you for a hospital appointment.
This is known in the NHS as Advice and Guidance (A&G). It allows your GP and a specialist to agree the best plan for your care. This might mean:
- Your GP can continue your treatment with advice from the specialist
- You are offered a referral for a hospital or clinic appointment if needed
- Tests or investigations are arranged for you instead of a hospital appointment
This approach helps ensure you see the most appropriate clinician and may also avoid unnecessary trips to hospital.
How Referrals Work
If the specialist recommends that you should be seen in a hospital or clinic, a referral is normally made through the NHS e‑Referral Service (e‑RS).
Using e‑RS means:
- You may be given a booking reference number and access code
- You can view and manage your referral online
- Many patients can choose from a shortlist of available hospitals or clinics
- You can book, check, change, or cancel appointments online
The Manage Your Referral website is designed to be easy to use, and you can also manage referrals through the NHS App if you have an NHS Login.
Book an appointment using the NHS e-Referral Service - NHS
Your Rights When Being Referred
In many cases, you have a legal right to choose where you receive your NHS treatment.
This includes the right to choose:
- Which hospital or service you go to (including some independent providers that deliver NHS care)
- Which consultant‑led team will provide your treatment, where available
Your GP Practice will usually offer a shortlist of suitable providers and you can take time to review your options.
Things you might want to consider:
- How long you may have to wait for your first appointment
- How quickly your treatment can begin
- Travel distance and convenience
- Ratings and reviews from other patients
If you feel you were not offered a choice, you can discuss this with your referrer.
For more information about your right to choose, visit: Your choices in the NHS - NHS