Lessons from the King's Fund

In August 2010 the King’s Fund published their investigation into primary care referral management entitled “Referral Management – Lessons for success

“A referral management strategy built around peer review and audit, supported by consultant feedback, with clear referral criteria and evidence-based guidelines is most likely to be both cost- and clinically-effective”.

They suggest that a quality referral:

  • Is clinically necessary
  • Has completed primary care management
  • Includes relevant history, examination, investigations and management
  • Is timely – not too early, not too late
  • Is directed to the appropriate specialist
  • Is of an appropriate degree of urgency
  • Does not duplicate work already done in previous referrals
  • Describes the patient’s and the referring GP’s ideas, concerns and expectations
  • Is a shared decision between patient and referring GP