The RNOH aims to be a world-leading orthopaedic hospital with the best patient care and staff experience in the NHS

Make a referral

If you are a GP referring to the RNOH please use the NHS e-referral system, e-RS.

What is e-RS?

ERS is the NHS electronic patient referral service used to refer patients to a consultant-led outpatient appointment.

What happens when a patient is referred electronically using e-RS?

Patients will have the ability to book into available appointments for all trust on their shortlists this is a provisional appointment.

Appointment dates are booked as soon as the patient decides or whoever is doing the booking decides

What happened if there are no appointments?

On occasions and for some services, a patient may not be able to secure an appointment at the time of Attempting to book for a number of reasons such as IT system malfunction or no service capacity etc. If this happens, practices or patients should always chokes the Defer to Providers option these are known as Appointment Slot Issues (ASIs).

Appointment Slot Issues (ASIs) and Defer to the provider

In the event that there is no capacity via e-RS, referring GPS will be asked to use the Defer to provider option. We will then be able to manage the referral within e-RS where there will be a complete data trail.

Sarcoma 2WW clinics are also supported by the NHS e-referral service.

Booking for NHS e-referral service appointment

You can contact the NHS e-referral service at the following times, using the numbers below:

NHS e-referral contact times
Monday to Friday
8 am to 8 pm
Weekends and bank holidays
8 am to 4 pm
e-RS appointment line
0345 6088 888
Text phone service
0845 850 2250

Please use the reference number and password from the patient appointment request letter, you will need to have this in front of you to book an appointment.

Benefits for the Trust

  • Patient choice and better control
  • Safety: referral visibility and audit trail
  • Operational: easier referral trail, reduction in the number of enquires
  • Finically: reduced DNA’s and cancellations- data from previous electronic booking pilots show that when pts are given the choice of date and time for their appointment they are more likely to attend. This leads to fewer wasted appointments and helps to improve the efficiency of Outpatient clinics

Benefits for patients

  • It gives patients as much choice as possible and where practicable, empowering patients to make the booking themselves.
  • Improves patient convenience. e-RS allows them to plan their visit for a time that best suits their family and work life.
  • There is significant evidence that patients who are empowered to choose their own appointment are far more likely to attend their clinic slot.
  • Similarly, where patients have greater choice, there is a reduction in re-arranged appointments.
  • By going paperless, we cannot lose or misplace letters and e-RS provides an electronic trail of records that can be easily traced.
  • And, by removing paper referrals we can speed up appointment confirmation for patients at the click of a button.

Key Contacts

If you have any concerns or queries about e-RS / problems finding clinics/ paper switch-off process.

Amanda Peel, Elective Access Manager

Tel: 020 8385 3058

Please contact the Elective Access Management Team at

Your information

Information included in these forms is processed in line with our Patient Privacy Policy. Patient Information Data is submitted via an encrypted internet connection (HTTPS) and stored in the site database; any identifiable PID is stored encrypted in the database. The encryption key is stored outside of the root of the website. Should the referrer wish to withdraw a referral at any time, either because this was submitted in error or at the patient's request, contact should be made with the relevant team detailed on the referral form who will arrange for the information to be removed in line with the Patient Privacy Policy.

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