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Iron deficiency


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Iron deficiency anaemia (IDA) or iron deficiency (below the lower limit of the laboratory reference) with any of the following concerning features
      • no obvious cause
      • persisting despite correction of potential causative factors
      • weight loss ≥5% of body weight in previous 6 months
      • mass palpable on abdominal or rectal examination
      • positive faecal occult blood test (iFOBT) if asymptomatic

  • Category 2
    (appointment within 90 calendar days)
    • Iron deficiency without any 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 cancer
  • Menstrual history
  • Dietary iron history
  • ELFT, FBC, iron studies results
  • Coeliac disease serology results

3. Additional referral information Useful for processing the referral

  • Urine dipstick results

4. Request

Last updated: 21 June 2023