GP assessment first
You have a symptom or condition that may need specialist assessment and want a clinician to define the right specialty and clinical question.
A focused GP assessment and referral letter when specialist opinion, investigation or treatment is clinically appropriate.
Send only the report type and your contact details by ordinary email. We will explain the secure route for forms and medical information.

A quick check before booking avoids the most common delays: the wrong form, missing records or a request that needs another clinician or organisation.
You have a symptom or condition that may need specialist assessment and want a clinician to define the right specialty and clinical question.
You have a consultant in mind, or your insurer asks for an open referral to a suitable specialty.
Symptoms may need same-day or emergency assessment rather than a routine private referral. Use NHS 111 or 999 as appropriate.
A referral is a clinical handover, not an administrative letter. The GP considers whether specialist care is needed, whether tests or treatment should come first, and what information will help the receiving clinician.
A report, certificate or referral is not guaranteed. The clinician must be able to support every statement from the information and examination available.
Symptoms, duration, effect on daily life and any warning signs or urgency are assessed.
Medical history, medicines, allergies, previous treatment and existing diagnoses are considered.
Bring relevant results, imaging, letters and reports so the referral can be accurate and useful.
The GP discusses the appropriate specialty, urgency and whether a named or open referral fits your needs.
The right documents help the doctor answer accurately and reduce the chance of a second appointment.
We check the request before confirming an appointment, so you know the format, evidence and cost in advance.
Confirm any insurer or consultant requirements before the GP appointment.
The GP assesses the concern, evidence, urgency and most suitable next step.
If appropriate, a focused letter sets out the clinical question and relevant background.
You or the receiving provider arrange the specialist appointment and any funding approval.
Requirements vary, but these principles help you prepare for the right appointment.
Not every private provider requires one, but the NHS advises getting a GP referral letter. It helps direct you to the right specialty and gives the specialist relevant clinical background. Your insurer may also require it.
You can tell the GP which consultant or hospital you prefer. The clinician will consider whether that specialty is appropriate. An open referral can be used when the insurer or patient will choose the provider later.
A new referral normally needs a clinical assessment and sufficient information. If a clinician already assessed the same issue and holds the relevant evidence, they will decide whether another appointment is necessary.
No. The specialist or provider decides whether to accept the referral, what further assessment is needed and what treatment to recommend.
This service is for private referrals. NHS referrals use NHS pathways and eligibility rules, usually through the GP practice holding your NHS record.
Email the report type, the organisation requesting it and your contact details. Please do not include medical information in ordinary email. We will reply with the secure next step and confirm suitability, what to bring, the fee and appointment length before booking.
A working contact route for medical reports and private referrals.