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Referral
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Paper Referral Switch Off
NHS England's Standard Contract for 2018/19 requires the full use of the NHS e-Referral Service for all consultant-led first outpatient appointments. Whilst the vast majority of services are on e-Referrals Providers are endeavouring to make the remaining few available.
Devon Providers implemented "paper switch off" from the 1 October 2018. Should Providers receive a paper referral and the speciality is available on e-Referrals the referral will be returned to the DRSS Helpdesk. The Helpdesk will contact the practice advising that the referral needs to be raised through e-Referrals. The patient will then be sent a letter asking them to telephone DRSS to book their appointment.
Exclusions
There are a number of services that are excluded nationally from e-Referrals for reasons such as same day appointments, non Consultant service.
Please see below table for current e-Referrals exclusions, these will remain as paper until we advise you otherwise.
| Provider | Service |
| Northern Devon Healthcare NHS Trust | Antenatal clinic referrals |
| Northern Devon Healthcare NHS Trust | Colposcopy |
| Northern Devon Healthcare NHS Trust | Fracture Clinic |
| Northern Devon Healthcare NHS Trust | Giant Cell Arteritis |
| Northern Devon Healthcare NHS Trust | Surgical Emergency Clinic |
| Northern Devon Healthcare NHS Trust | Emergency Gynaecology |
| Northern Devon Healthcare NHS Trust | GUM |
| Northern Devon Healthcare NHS Trust | Termination of Pregnancy |
| Northern Devon Healthcare NHS Trust | EPAC clinic |
| Northern Devon Healthcare NHS Trust | Wet/Dry Macular degeneration |
| Royal Devon and Exeter NHS Foundation Trust | Antenatal clinic referrals |
| Royal Devon and Exeter NHS Foundation Trust | Emergency Gynaecology |
| Royal Devon and Exeter NHS Foundation Trust | Fracture Clinic |
| Royal Devon and Exeter NHS Foundation Trust | GUM |
| Royal Devon and Exeter NHS Foundation Trust | New Type 1 Diabetes |
| Royal Devon and Exeter NHS Foundation Trust | Rapid Access Paediatrics |
| Royal Devon and Exeter NHS Foundation Trust | Termination of Pregnancy |
| Torbay and South Devon NHS Foundation Trust | Antenatal clinic referrals |
| Torbay and South Devon NHS Foundation Trust | Dietetics |
| Torbay and South Devon NHS Foundation Trust | Fracture clinics |
| Torbay and South Devon NHS Foundation Trust | GUM |
| Torbay and South Devon NHS Foundation Trust | Nuclear Medicine |
| Torbay and South Devon NHS Foundation Trust | Other Urgent Ophthalmology (not same day requirements) |
| Torbay and South Devon NHS Foundation Trust | Pregnancy Advisory service |
| Torbay and South Devon NHS Foundation Trust | Speech & Language services |
| Torbay and South Devon NHS Foundation Trust | Stroke/TIA |
| Torbay and South Devon NHS Foundation Trust | Wet/Dry Macular degeneration |
| University Hospitals Plymouth NHS Trust | Antenatal clinic referrals |
| University Hospitals Plymouth NHS Trust | CVA and TIA referrals |
| University Hospitals Plymouth NHS Trust | Dietitians |
| University Hospitals Plymouth NHS Trust | Emergency Referrals |
| University Hospitals Plymouth NHS Trust | GUM |
| University Hospitals Plymouth NHS Trust | Infectious Diseases |
| University Hospitals Plymouth NHS Trust | Fracture Clinic |
Published: 21 March 2018
