How to make a referral

Referring your patients to our hospital is simple, provided they meet the safe criteria for treatment…

In order to be referred to us for treatment, the patient must:

As long as the condition is managed, and the patient is stable upon admission for treatment, we can accept patients with:

For referral queries, please contact our GP Practice Liaison, Holly Wale by calling 07799 715472 or via email

If the patient meets the above criteria, you can refer them to us via the NHS e-Referral Service (previously Choose and Book):

Please send all referrals via the NHS e-Referral Service – if for any reason you’re unable to refer via eRS, contact us at and we can discuss other methods.

This applies to all referrals apart from Radiology (ultrasound, MRI, X-ray) which should be sent via secure NHS email to:

Please detail the patient’s medical history and any other relevant information you feel it would be beneficial for our consultant to know.

Explore our full range of treatments and meet our consultants.

Need advice?

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Please note: this form does not constitute a referral and should only be used to enquire about referring a patient or request further information.


Patient safety acceptance criteria

This patient safety acceptance criteria chart has been produced to provide you with additional details to supplement your referral.

Quality Account Report 2017-2018

This Quality Account sets out our performance on a range of key measures for our patients, the wider public, commissioners and partners. It demonstrates what we have achieved in 2017-2018, and plan to achieve in 2018-2019.

Dental referral form

Download our dental referral form to refer your patient to us.

Gastroscopy referral form

Download our gastroscopy referral form to refer your patient to us.

Imaging referral form

Download our imaging request form to refer your patient to us.

Lower gastrointestinal endoscopy referral form

Download our lower gastrointestinal endoscopy referral form to refer your patient to us.

Urology one-stop consultation referral form

Download our urology one-stop consultation referral form to refer your patient to us.

EMIS gastroscopy referral template

Download our EMIS template for gastroscopy referrals.

EMIS lower gastrointestinal endoscopy referral template

Download our EMIS template for gastrointestinal endoscopy referrals.

EMIS urology referral template

Download our EMIS template for urology referrals.

Our current waiting times

Our current waiting times

NHS Treatments

NHS Treatments

Who is Care UK

Who is Care UK

Clinical results

Clinical results

 Car parking at Emersons Green

When attending the treatment centre you must enter your vehicle registration plate at reception to qualify for free parking each time you visit us. Thank you for your cooperation.