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Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)

    • Any patient with significant impact on activities of daily living, unexplained, persistent, or recent-onset symptoms (treatment-resistant) with any of the following concerning features:
      • gastrointestinal bleeding
      • weight loss, ≥5% of body weight in previous 6 months
      • difficulty swallowing
      • persistent and/or recurrent vomiting
      • iron deficiency in males and postmenopausal women or unexplained iron deficiency in premenopausal women

  • Category 2
    (appointment within 90 calendar days)

    • Any patient with significant, unexplained, persistent, or recent-onset symptoms (treatment-resistant) 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

  • Family history of gastrointestinal cancers
  • Relevant medications
  • Medical management to date (document treatments offered and efficacy including failed treatment with moderate dose PPI for dyspepsia)
  • FBC, ELFTs

3. Additional referral information Useful for processing the referral

  • Previous endoscopic procedures (date and report)
  • Relevant imaging reports
  • H pylori results

4. Request

Last updated: 13 June 2023