Understanding External Referrals in NHS Organizations
Learn about External Referrals in NHS Organizations, where clinicians refer patients to other clinicians for further management or treatment. Find out when to make external referrals, how to document them, and important considerations for the pathway at referring and receiving organizations.
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Presentation Transcript
External Referrals are where a clinician refers a patient to another clinician in a different NHS Organisation External Referrals are also known as Consultant to Consultant referrals External referrals should only be made when the clinician is unable to treat the condition the patient has been referred in for or they require further investigation of a condition that will affect the treatment of the condition the patient has been referred in for.
External referrals would not normally start a new clock as they are part of the patient s treatment An Interprovider Transfer Form (IPT) should be completed and sent with the referral When the referral is added in the receiving Trust, they should use the Pathway ID that is listed on the IPT form and the clock start date
In the Pathway at the referring organisation the RTT Status Code of 21 should be entered into the pathway. This should only be entered if the patient is being referred on for further management and treatment If the patient is being referred on for diagnostic only or for an opinion only then the referring organisation should enter an RTT Status code of 20 into the pathway
The patient will be a new patient appointment to the clinician to which they have been referred. In the receiving Organisation the RTT Status code of 20 will need to be added to the pathway. A clinician may refer to another clinician for a second opinion. This should be clearly marked on the IPT and a RTT Status code of 92 should be added to the referral.
A clinician may refer to another clinician for a Diagnostic test only. This should be clearly marked on the IPT and a RTT Status code of 92 should be added to the referral. In the receiving NHS Organisation if an IPT is received marked as diagnostic only or opinion only then a pathway ID should not be created and the RTT Status code of 92 should be entered. If an IPT has not been received with the referral it is recommended that the receiving NHS Organisation chase the referring NHS Organisation on two separate occasions
If the IPT is still not received then the receiving NHS Organisation should use the date of the appointment/dictation of the referral letter, rather than the referral received date as this will be the decision to refer
