A Referral Letter Criteria

HOW TO WRITE A REFERRAL LETTER

Referral letters are a vital, if time-consuming, aspect of a GP’s life. A well-written referral can make all the difference when a patient visits a specialist, and show a level of care and expertise on the part of the referring clinician.

 Patient Details

Essential pieces of information about the patient include:
  • Full name, title and the patient’s preferred name
  • Date of birth
  • Patient sex (sex at birth to help determine how the individual will be treated clinically)
  • Gender (how the patient identifies themselves)
  •  Communication preferences (if relevant) – preferred contact method (sign language, letter, phone, etc) and preferred written communication format (e.g. large print, braille).
  •   Relevant contacts (e.g. next of kin, main informal carer, emergency contact

     Presenting complaints

        You should list the health problems and issues experienced by the patient that has resulted in their attendance.
       

   History of each presenting complaint

          The referring practitioner should carefully document the details surrounding each of the patient’s presenting complaints to clearly convey the salient details to the receiving clinician such that they can gain a clear picture of the clinical situation and are able to make a reasonable and informed judgment on the case.

     Past medical history

     Reason for referral

         The referring doctor should be clear about why this patient is being referred to secondary care (e.g. investigation, diagnosis, treatment) and what the expected outcome is. In some cases, it may be reasonable to transfer full care of a patient to secondary care and in other cases, the referral may be simply to gain a second opinion on the diagnosis followed by management in primary care.

     Urgency of referral