Clinical Advice and Guidance

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Clinical Advice and Guidance allows a primary care clinician to seek advice from a hospital clinician to:

  • formulate a treatment plan and/or patient management
  • interpret test results.
  • discuss the appropriateness of a referral (e.g. whether to refer, what the most appropriate alternative care pathway might be).
  • find the most clinically appropriate service to refer to.

GPs across North Central London (NCL) can now request non-urgent clinical advice and guidance from specialists in any of the four main NHS acute trusts in NCL.

Acute trusts must ensure that 80 per cent of responses to requests are completed within two working days. This closer collaboration between hospital clinicians and GPs has been shown to: benefit patients and their care; support GPs in managing patients care; and improve the quality of referrals to acute care.

The Specialties by Provider document provides a list of the current specialties that are live for Advice and Guidance for each provider.

Following an NCL Clinical Advice and Guidance (CAG) Clinician to Clinician event a number of issues were raised by GPs and Hospital Consultants. These have been condensed into the following 35 Frequently Asked Questions.

Please refer to the e-Referral Service: Using Advice & Guidance document for a step-by-step guide on how to use the service; or contact your CCG lead to arrange training.

The scheme works as follows: