All guidance should be developed in
accordance with the following supporting guidelines
Information should be clear, concise and easy to use
Where possible bullet points should be used
Large amounts of information should be hyperlinked and not included in
the main body of the referral guidance
Reflective of good practice and most recent national guidelines
Developed in partnership with lead
commissioners, Primary and Secondary Care Clinicians, Medicines Optimisation and Public Health
Reflective of local service
provision and needs
Any resource implications and changes in service
delivery should be addressed. As long as QIA is done, liaison with commissioners and providers occurs and this is reflected in the Assurance Process Document, LMC can be consulted but it is not mandated.
If relevant an integrated impact assessment (IIA) should been
completed and agreed in relation to any changes in service provision
Implementation of the guidance should not pose a risk to patients or the organisation/s
Is there an eligibility criteria that must be met prior to referral?
Does this procedure require prior approval or Individual Funding Request?
if yes please indicate name of commissioning statement and this will be linked to the pathway
Signs and Symptoms
History and Examination
Seek immediate or urgent specialist advice/treatment if:
Clearly specify what tests and investigations with any exclusions / parameters as required
Please ensure all hyperlinks are correct and working
Provide clear management plans (with supporting links where required) ensuring they are current, evidence based, credible, cost effective and support the local guidance or CCG commissioning intentions.
Ensure there has been consideration as to the self-care options (promotion and protection of good health or prevention of ill heath) available or how this could support a medical management plan.
Ensure the correct professionals are consulted as part of any management plan options (eg Medicines Optimisation teams if medicines are suggested).
When/What to refer
Where to refer
Any pre-referral requirements?
Any information required to support the referral?
Is the criteria reflective of the DoS?
What information is required to support this referral i.e:
Evidence of management in primary care
Results of test and investigations
Is this reflective of the DoS?
This will reflect information identified in Scope section
e-Consultationis/is not currently available for this speciality - Please amend as appropriate Ensure all links are included as required
Consider all referral options including both health
sector referrals and social care.
Please state how referrals should be made i.e. via eRS, SystmOne, referral form SPA etc
Referrals should be made via ICG to TRISH (if training has been undertaken) - See user guides (EMIS & S1) for further information.
Please include any telephone numbers or addresses if relevant
Shared Decision Making
Patients have a right to make decisions about their care and should be fully informed about the options they face. They should be provided with reliable evidence-based information on the likely benefits and harms of interventions or actions, including any uncertainties and risks, eliciting their preferences and supporting implementation. Signpost patient to Decision Making aid (hyperlink tool if available) – this can be printed off for the patient if required -Please delete last sentence if no decision aid available
Patient information/Public Health/Self Care
Add links to NHS choices and relevant patient information
Include links to NICE or other relevant clinical evidence based information
Assurance & Governance (completed by OSCAR admin)
Assurance Process Document for completion of the pathway was completed on:
This pathway was reviewed and recommended by: The OSCAR Assurance Group on:
Approval and ratification by Integrated Governance Committee on:
Any feedback, comments or concerns to improve this pathway should be sent to: firstname.lastname@example.org or use this link provided
Only the electronic version is maintained, once printed this is no longer a controlled document