Common reasons for cancellation
RMS check list
Without the following information in the referral letter the RMS may cancel the referral:
BMI
- Orthopaedic/MSK
Most referrals require up to date appropriate imaging, usually in the last 6 months
Conservative measures should be completed, eg physiotherapy, podiatry, injections
- Endometriosis
Ultrasound within 3 months of referral
- Cardiology
Recent ECG attached
- Audiology
Ears must have been examined and clear of wax - please state this clearly in the referral letter
- Cataract
Must have an optician report attached
- Gallstones
Require an ultrasound and LFT blood result
- Sleep apnoea
Needs an Epworth score and mention of CPAP therapy
- Commonly referred POLCPs* (should be managed in primary care)
Bowen’s disease
Removal of benign skin lesions
- Other
Patients that have been seen by a specialist outside the county need the appropriate letters attached
Please note when referring that if there are reasons for referring outside the guidelines please mention these in the referral letter and the referral will likely go through (with the exception of the CCG POLCP rules).
*Procedure of low clinical priority, as designated by the CCG