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Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)

    • Diarrhoea > 6 weeks that is affecting activities of daily living and with any of the following concerning features
      • bloody or nocturnal diarrhoea
      • weight loss, ≥5% of body weight in previous 6 months
      • persistent abdominal pain
      • iron deficiency in males and postmenopausal women or unexplained iron deficiency in premenopausal women
      • patient and family history of bowel cancer or inflammatory bowel disease
  • Category 2
    (appointment within 90 calendar days)
    • Diarrhoea > 6 weeks without concerning features

  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Patient and family history of gastrointestinal cancer
  • ELFT, FBC, TSH, iron studies results
  • Coeliac disease serology results
  • Stool test results
  • Previous gastrointestinal investigations and results (date and report)

3. Additional referral information Useful for processing the referral

  • Recent travel history
  • CRP, Faecal calprotectin, if inflammatory bowel disease is suspected
  • Clostridium difficile toxin (if recent antibiotics)
  • Relevant imaging reports

4. Request

Last updated: 20 May 2022