The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary and tertiary care institutions regarding both NHS and private patients.
Tertiary referrals to the RNOH from other hospitals
The RNOH has committed to using ‘PATHPOINT’, an electronic referral and pathway management system, for all Consultant-led referrals from secondary and tertiary care organisations. General Practitioners should continue to refer to RNOH using the UK Electronic Referral System (ERS) - please further see below.
PATHPOINT offers significant benefits to referrers:
- Secure, streamlined, electronic referral forms
- Receive updates and notifications in real time
- Increased visibility of all referrals and triage outcomes
The current services to accept PATHPOINT referrals are:
- Foot & Ankle Unit
- Joint Reconstruction Unit (JRU) - hip
- Joint Reconstruction Unit (JRU) - knee
- Limb Reconstruction Unit
- Paediatric orthopaedic referrals including Ponseti, club foot etc
- Peripheral Nerve Injury Unit
- Shoulder & Elbow Unit
- Spinal Surgical Unit includes:
- Rheumatology services including:
Please note, only the services listed above are using PATHPOINT at this time. For referrals to other services please refer to the respective page for that service.
For further information on the PATHPOINT system, please click here.
To give your feedback, or for any further questions, please email the relevant contact below:
PATHPOINT Technical Support: support
Feedback to RNOH Project Team: rnoh.
Tertiary referrals from other hospitals
These forms are only for tertiary referrals from other hospitals. We will not accept referrals from GPs using the online referral forms below. Please note that from Monday 13 December 2021, tertiary referrals to the Foot and Ankle, Shoulder and Elbow and Limb Reconstruction services are via Pathpoint (please see above).
The following service referrlas ARE NOT currently via Pathpoint:
- Metastatic Spinal Cord Compresion (MSCC) referral form
- Spinal Infection referral form
- Spinal Trauma referral form
GPs referring to the RNOH
If you are a GP referring to the RNOH please use the NHS e-Referral Service system, e-RS. Find out more about e-RS and the benefits for patients.
What is e-RS?
E-RS is the NHS electronic patient referral service used to refer patients to a consultant-led service. This is for new first outpatient appointments only. All other appointments must be booked as per the current process.
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 rearranged appointments.
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.
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 patients 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
What happens when a patient is referred electronically using e-RS?
Where the service is ‘directly bookable’ patients will have the ability to book into an available appointment (as a provisional appointment) that is convenient for them to attend. The referral will be reviewed (triaged) by the relevant consultant and will be accepted, rejected or referred on (to another RNOH colleague). The outcome of the review will be communicated to the GP and the patient. For rejected referrals, this will mean that the provisional appointment is cancelled and for accepted referrals, it will mean that the provisional appointment is confirmed.
For ‘indirectly bookable’ services, patients will be given a paper by the GP which should contain a UBRN, passcode and a telephone number to call to activate the referral. It is only once the patient calls the RNOH, that the RNOH will have access to the referral information on e-RS. The referral will be passed to the relevant consultant to review and a decision to accept or reject will be made and the patient and GP notified accordingly.
What happened if there are no appointments?
There may be instances where a patient cannot select an appointment (for directly bookable services) when attempting to book the appointment. When this happens, practices or patients should always choose the ‘Defer to Providers’ option. These are known as 'Appointment Slot Issues' and are caused because there are no available slots for the service the patient is being referred to.
Appointment Slot Issues (ASIs) and Defer to the provider
When there is no capacity available for a service on e-RS and referring GPs, use the 'Defer to Provider' option, an Appointment Slot Issue is created. The service will manage the Appointment Slot Issue worklist, create capacity for the Appointment Slot Issue and then book the patient an appointment via e-RS when there is capacity available.
Sarcoma clinics are also supported by the NHS e-Referral Service. Please ensure that the suspected sarcoma referral form is used for all 2WW referrals. This form can be found here Contact Details for GPs and Pan-London & South East Sarcoma Network Referral Form.
Booking for NHS e-referral service appointment
Patients can book, change or cancel their appointment online and by phone.
To book or amend an appointment online, please visit: NHS e-Referral Service
To book or amend an appointment by phone, please contact the national e-Referral Service appointment line: 0345 6088 888 or 0845 850 2250 for their textphone service.
NHS e-referral contact times
Monday to Friday: 8am to 8pm
Weekends and bank holidays: 8am to 4pm
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.
If you have any concerns or queries about e-RS / problems finding clinics/ paper switch-off process, please contact:
Amanda Peel, Elective Access Manager
Tel: 020 8385 3058
Elective Access Management Team at rnoh.