As a result of the hospitals in the region being under such pressure and strain at present, we have been asked by the CCG to take measures to try and ensure that we as a practice are referring appropriately.
We have therefore taken the following steps in a bit to comply with this request:
Advice and Guidance
There are an increasing number of services which are offering the facility of Advice & Guidance in the first instance when a doctor decides to refer. The referral is still done electronically and sent to the relevant department where it is triaged by a consultant. The consultant’s feedback, together with their recommendation on whether you need to be seen in order to deal with your condition, is then fed back to your referring doctor who will carry out the consultant’s wishes. The whole process only takes approximately 7 days and often your symptoms/condition will be dealt with more swiftly and efficiently than if you being put on long waiting list
Peer referral review
Roseworth Surgery is a teaching practice and as such we have GP Registrars and FY2 doctors working in the practice throughout the year. Another way we are trying to ensure we are referring appropriately is by peer referral review which basically means that all referrals being made at the practice by any of the Registrars or FY2 doctors will be discussed and agreed with a senior partner prior to them being sent. If for some reason it is decided not to go ahead with your referral, your GP will contact you and explain why this decision has been made.
Both of the above may seem alien in comparison to the way you are used to be referred, however again due to the strain secondary care in particular is under, we are trying to reduce the amount of unnecessary referrals being made. If we do not take these measures there is a real danger that a referral management company will be put insitu within the trust which means all control over referrals will be taken out of the doctors hands and would be made by such a company. Again thank you for your patience and understanding.
Individual Funding Requests (IFR)
This is NHS funding for drugs, operations or other care that is not routinely funded by the NHS.
Basically the rule of thumb would be as follows:
- If a condition is considered either self-resolving,
- or could be classed as cosmetic in nature
- or alternative treatment could be tried in the first instance (eg. Carpel tunnel correction – could wrist splints help rather than an operation)
The procedure of applying for funding is very simple and takes only a few minutes to complete. If for any reason your request does not meet the criteria and your GP feels it is appropriate we can apply on “exceptional circumstances” which takes a while longer as at this stage your request will go to a medical panel for consideration. If funding is granted your referral will go ahead as normal. We will keep you informed of any decision which is made.