Referrals & Services

What's new in Referrals & Services

Allied Health Professions

Allied Health Professions Physiotherapy

Physiotherapy Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 2 Jul, 2018
Updated: 2 Jul, 2018
Physiotherapy Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 11 Apr, 2019
Updated: 11 Apr, 2019

Allied Health Professions Podiatry

Podiatry Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 7 Jul, 2020
Updated: 7 Jul, 2020
Podiatry Service
Provider Wye Valley NHS Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Allied Health Professions Speech & Language Therapy

Speech and Language Therapy
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 31 Mar, 2021
Updated: 31 Mar, 2021

Breast Surgery

Advice & Guidance Service - Breast Surgery
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Prior Approval - Breast Surgery

Cancer

Macmillan Next Steps Cancer Rehabilitation Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 27 Jul, 2020
Updated: 27 Jul, 2020
Radiotherapy Advice Line
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Radiotherapy Late Effects Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 25 Apr, 2023
Updated: 25 Apr, 2023

Cancer 2WW Brain

2WW Neurology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 16 Nov, 2023
Updated: 16 Nov, 2023

Cancer 2WW Breast

2WW Breast Surgery Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jul, 2021
Updated: 1 Jul, 2021

Cancer 2WW Gynaecology

2WW Gynaecology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 17 Jan, 2024
Updated: 17 Jan, 2024

Cancer 2WW Haematology

2WW Haematology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jul, 2021
Updated: 1 Jul, 2021

Cancer 2WW Head and Neck

2WW Head & Neck Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jul, 2021
Updated: 1 Jul, 2021

Cancer 2WW Lower GI

2WW Colorectal Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 9 Mar, 2023
Updated: 9 Mar, 2023

Cancer 2WW Lung

2WW Respiratory Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jul, 2021
Updated: 1 Jul, 2021

Cancer 2WW Non-Specific Symptoms

2WW Non-Specific Symptoms (NSS) Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 25 Oct, 2022
Updated: 25 Oct, 2022

Cancer 2WW Sarcoma

2WW Sarcoma Service
Provider Birmingham Royal Orthopaedic Hospital
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 31 Jan, 2024
New! Updated: 31 Jan, 2024

Cancer 2WW Skin

2WW Dermatology Rapid Assessment Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 31 Jan, 2024
New! Updated: 31 Jan, 2024

Cancer 2WW Upper GI

2WW Upper GI Surgery Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jul, 2021
Updated: 1 Jul, 2021
EUROPAC - European Registry of Hereditary Pancreatic Diseases
Referral Forms
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024

Cancer 2WW Urology

2WW Urology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Uro-Oncology PSA Tracker & Supported Self-Management Programme
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Cardiology

Advice & Guidance Service - Cardiology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cardiac Investigations Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 4 Jan, 2022
Updated: 4 Jan, 2022
Cardiac Physiologist Ambulatory Monitoring Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 4 Jan, 2022
Updated: 4 Jan, 2022
Cardiac Rehabilitation Service (Phase 2 & 3)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cardiac Rehabilitation Service (Phase 4)
Provider Various
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 23 May, 2018
Updated: 23 May, 2018
Cardiology Service (Acute)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Heart Failure Service (Community)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 20 Apr, 2023
Updated: 20 Apr, 2023
Rapid Access Chest Pain Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 19 Jan, 2021
Updated: 19 Jan, 2021

Care of the Elderly

Age UK Help Team
Provider AGE UK
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 22 Mar, 2022
Updated: 22 Mar, 2022
Care of the Elderly Service (Acute)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Care Sector Support Team (Physical Health)
Provider NHS Gloucestershire ICB
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Later Life Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Safe and Well Checks
Provider Gloucestershire Fire and Rescue
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Care of the Elderly Falls

Falls Assessment and Education Service (FAES)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Jan, 2021
Updated: 29 Jan, 2021
Medical Falls Assessment Clinic (FAC)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 5 Jan, 2023
Updated: 5 Jan, 2023

Care of the Elderly Frailty

Cinapsis - Frailty Assessment Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Complex Care at Home Frailty Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 11 Aug, 2022
Updated: 11 Aug, 2022
North Cotswolds Frailty Care Team
Provider North Cotswolds PCN
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024
South Cotswolds Frailty Service
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 18 Mar, 2024
Updated: 18 Mar, 2024

Children & Young People

Advice & Guidance Service - Paediatrics
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Children's Weight Management Service
Provider BeeZee Bodies
Referral Forms
Flag(s) C&YP
Updated 20 Dec, 2023
C&YP Updated: 20 Dec, 2023
Community Paediatrician Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Gloucestershire Young Carers
Provider Gloucestershire Young Carers
Referral Forms
Flag(s) C&YP
Updated 19 Apr, 2022
C&YP Updated: 19 Apr, 2022
Paediatrics Service (Acute)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Persistent Physical Symptoms Service
Provider GHCNHSFT / GHNHSFT
Referral Forms
Flag(s) C&YP
Updated 7 Apr, 2022
C&YP Updated: 7 Apr, 2022

Children & Young People Allied Health Professions (C&YP)

Dietitian Service (C&YP)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Occupational Therapy (C&YP)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 20 Feb, 2020
C&YP Updated: 20 Feb, 2020
Physiotherapy (C&YP)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 25 Feb, 2020
C&YP Updated: 25 Feb, 2020
Podiatry Services (C&YP)
Provider Wye Valley NHS Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Podiatry Services (C&YP)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Speech and Language Therapy (C&YP)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 15 Feb, 2019
C&YP Updated: 15 Feb, 2019

Children & Young People Community Healthcare (C&YP)

Children's Community Nursing Team (CCNT)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Children's Complex Care Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Health Visiting Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Home Safety Team (C&YP)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
School Aged Immunisation Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
School Nursing Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 24 Jan, 2022
C&YP Updated: 24 Jan, 2022
WellChild Nurse Care Coordinator
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 2 Mar, 2023
C&YP Updated: 2 Mar, 2023

Children & Young People Ear, Nose & Throat (C&YP)

Audiology Service (C&YP)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 12 Jan, 2023
C&YP Updated: 12 Jan, 2023

Children & Young People GI & Liver (C&YP)

Gastroenterology Service (C&YP)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024

Children & Young People Lifestyle & Wellbeing (C&YP)

Arts on Prescription
Provider Gloucestershire Creative Health Consortium
Referral Forms
Flag(s) C&YP
Updated 24 May, 2022
C&YP Updated: 24 May, 2022
Safe Teenage Relationship Education & Empowerment Team (STREET)
Provider Victim Support Gloucestershire
Referral Forms
Flag(s) C&YP
Updated 7 Apr, 2022
C&YP Updated: 7 Apr, 2022

Children & Young People Mental Health, Behaviour & Neurodevelopmental (C&YP)

Child & Adolescent Mental Health Service (CAMHS) Neurodiversity Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 23 Nov, 2022
C&YP Updated: 23 Nov, 2022
Children and Adolescent Mental Health Service (CAMHS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 4 Feb, 2022
C&YP Updated: 4 Feb, 2022
Children's Learning Disabilities Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Community Paediatric & Neurodisability Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Gender Incongruence Service
Provider Arden and Greater East Midlands CSU
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Social Communication and Autism Assessment Service (SCAAS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s) C&YP
Updated 22 Nov, 2022
C&YP Updated: 22 Nov, 2022
TIC+
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Children & Young People Safeguarding (C&YP)

Allegations Management Form (C&YP)
Provider Gloucestershire County Council
Referral Forms
Flag(s) C&YP
Updated 10 May, 2022
C&YP Updated: 10 May, 2022
C&YP Domestic abuse, Stalking, Harassment and Honour Based Violence (DASH) risk assessment form
Referral Forms
Flag(s) C&YP
Updated 7 Apr, 2022
C&YP Updated: 7 Apr, 2022
Safeguarding - Child Protection Conference Report (C&YP)
Provider Gloucestershire County Council
Referral Forms
Flag(s) C&YP
Updated 1 Mar, 2022
C&YP Updated: 1 Mar, 2022
Safeguarding - Multi-Agency Service Request Form (MARF) (C&YP)
Provider Gloucestershire County Council
Referral Forms
Flag(s) C&YP
Updated 1 Mar, 2022
C&YP Updated: 1 Mar, 2022

Children & Young People Social Care (C&YP)

Advisory Teaching Service
Provider Gloucestershire County Council
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Children in Care Health Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Early Help Partnership
Provider Gloucestershire County Council
Referral Forms
Flag(s) C&YP
Updated 10 Aug, 2020
C&YP Updated: 10 Aug, 2020
Early Years Service
Provider Gloucestershire County Council
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Educational Psychology Service (EPS)
Provider Gloucestershire County Council
Referral Forms
  • No dedicated referral form required.
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Youth Support Team
Provider Gloucestershire County Council
Referral Forms
Flag(s)
Updated 3 Aug, 2015
Updated: 3 Aug, 2015

Children & Young People Urology (C&YP)

Bladder and Bowel Care Service (C&YP)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024
Paediatric Urology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s) C&YP
Updated 29 Mar, 2024
C&YP Updated: 29 Mar, 2024

Community Healthcare

Community IV Therapy Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Complex Leg Wound Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 6 Jun, 2022
Updated: 6 Jun, 2022
Gloucestershire Wheelchair Assessment Service (GWAS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 15 Mar, 2021
Updated: 15 Mar, 2021
ICT Community Nursing
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 21 Jul, 2020
Updated: 21 Jul, 2020
ICT Community Therapy
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 14 Nov, 2022
Updated: 14 Nov, 2022
ICT Physiotherapy
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Lymphoedema Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Stroke Early Supported Discharge Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Apr, 2021
Updated: 1 Apr, 2021
Tissue Viability Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 18 Feb, 2020
Updated: 18 Feb, 2020

Dermatology

Advice & Guidance Service - Dermatology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Minor Surgery Service
Provider Various
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 10 Jan, 2019
Updated: 10 Jan, 2019
Prior Approval - Dermatology
Provider Various
Referral Forms
Flag(s)
Updated 6 Oct, 2020
Updated: 6 Oct, 2020
Specials Ordering - Dermatology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 5 Apr, 2022
Updated: 5 Apr, 2022

Diabetes, Endocrinology & Metabolic

Advice & Guidance Service - Diabetes & Endocrinology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Diabetic Eye Screening
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Familial Hypercholesterolaemia (FH)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Jun, 2023
Updated: 1 Jun, 2023
Gloucestershire Diabetes Services (Community & Secondary)
Provider GHCNHSFT / GHNHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 8 Feb, 2024
Updated: 8 Feb, 2024
NHS Diabetes Prevention Programme (NDPP)
Provider Xyla Health and Wellbeing
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Aug, 2022
Updated: 1 Aug, 2022
NHS Type 2 Diabetes Path to Remission Service
Provider Xyla Health and Wellbeing
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 20 Dec, 2023
New! Updated: 20 Dec, 2023

Diagnostics

Community Diagnostic Centre
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024

Diagnostics Diagnostic Physiological Measurement

Audiology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 2 Feb, 2021
Updated: 2 Feb, 2021
Neurophysiology Diagnostic Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s) New!
Updated 20 Feb, 2024
New! Updated: 20 Feb, 2024

Diagnostics Endoscopy

Endoscopy Service
Provider Practice Plus Group (Emerson's Green)
Referral Forms
Flag(s)
Updated 29 Mar, 2021
Updated: 29 Mar, 2021
Endoscopy Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 10 May, 2022
Updated: 10 May, 2022
Endoscopy Service
Provider Winfield Hospital
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Diagnostics Imaging

CT & MRI Direct Access Service
Provider Cobalt Health
Referral Forms
Flag(s)
Updated 15 Mar, 2021
Updated: 15 Mar, 2021
Radiology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Ultrasound (non-obstetric) Direct Access Service
Provider Physiological Measurements Limited
Referral Forms
Flag(s)
Updated 7 Sep, 2021
Updated: 7 Sep, 2021
Ultrasound / MRI / X-ray
Provider Practice Plus Group (Emerson's Green)
Referral Forms
Flag(s)
Updated 29 Mar, 2021
Updated: 29 Mar, 2021

Diagnostics Pathology

Pathology Department
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Phlebotomy Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024

Ear, Nose & Throat

Advice & Guidance Service - Ear, Nose & Throat (ENT)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Ear, Nose & Throat
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Ear Wax Removal (Microsuction)
Provider Specsavers
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 10 Jan, 2023
Updated: 10 Jan, 2023
Ear, Nose & Throat (ENT) Service
Provider Winfield Hospital
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Ear, Nose & Throat (ENT) Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Ear, Nose & Throat (ENT) Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Tonsillectomy
Provider Various
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 8 Sep, 2022
Updated: 8 Sep, 2022

End of Life / Palliative Care

End of Life / Palliative Care Coroner

Gloucestershire Coroner's Service
Provider Gloucestershire County Council
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 28 Dec, 2023
New! Updated: 28 Dec, 2023
Herefordshire Coroner's Service
Provider Herefordshire County Council
Referral Forms
Flag(s)
Updated 28 Mar, 2022
Updated: 28 Mar, 2022

End of Life / Palliative Care Hospices

Great Oaks Dean Forest Hospice Day Service
Provider Great Oaks Dean Forest Hospice
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 23 Nov, 2020
Updated: 23 Nov, 2020
Hospice at Home, Wellbeing, Counselling and Complementary Therapies
Provider Longfield Community Hospice
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 20 Dec, 2023
Updated: 20 Dec, 2023
Prospect Hospice
Provider Prospect Hospice
Referral Forms
Flag(s)
Updated 25 Apr, 2023
Updated: 25 Apr, 2023
Sue Ryder Leckhampton Court Hospice
Provider Sue Ryder
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 19 Nov, 2019
Updated: 19 Nov, 2019

End of Life / Palliative Care Palliative Care

Community Specialist Palliative Care Nursing Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 24 Nov, 2021
Updated: 24 Nov, 2021

Fertility, Pregnancy, Obstetrics & Parenting

Advice & Guidance - Obstetrics
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024
Early Pregnancy Assessment Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 20 Jul, 2020
Updated: 20 Jul, 2020
Fertility Assessment Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2023
Updated: 29 Mar, 2023
Gloucestershire Bundles
Provider Gloucestershire Bundles
Referral Forms
Related Clinical Topic(s)
Flag(s) New!
Updated 22 Mar, 2024
New! Updated: 22 Mar, 2024
Home-Start Gloucestershire
Provider HomeStart Gloucestershire
Referral Forms
Flag(s) C&YP
Updated 12 Dec, 2022
C&YP Updated: 12 Dec, 2022
Maternity Services
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Parenting Support Team
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) C&YP
Updated 11 Jan, 2022
C&YP Updated: 11 Jan, 2022
Pregnancy Advisory Service (PAS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 28 Sep, 2020
Updated: 28 Sep, 2020
Recurrent Pregnancy Loss Clinic
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024

GI & Liver

Cinapsis - General Surgery
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024

GI & Liver Colorectal Surgery

Colorectal Surgery Service
Provider Winfield Hospital
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Colorectal Surgery Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Haemorrhoids
Provider Various
Referral Forms
Flag(s)
Updated 8 Feb, 2023
Updated: 8 Feb, 2023

GI & Liver Gastroenterology

Advice & Guidance Service - Gastroenterology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Gastroenterology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Gastroenterology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Inflammatory Bowel Disease (IBD) Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

GI & Liver Hepatology

Advice & Guidance Service - Hepatology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Hepatology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

GI & Liver Upper GI Surgery

General Surgery Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Hernia Repair
Provider Various
Referral Forms
Flag(s)
Updated 8 Sep, 2022
Updated: 8 Sep, 2022
Hernia Surgery Service
Provider Independent Health Group
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Gynaecology

Advice & Guidance Service - Gynaecology
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Bristol Mesh Complications Specialist Service
Provider North Bristol NHS Trust
Referral Forms
Flag(s)
Updated 20 Sep, 2022
Updated: 20 Sep, 2022
Gynaecology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Prior Approval - Gynaecology
Provider Various
Referral Forms
Flag(s)
Updated 8 Aug, 2022
Updated: 8 Aug, 2022
Urogynaecology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Sep, 2022
Updated: 1 Sep, 2022

Haematology, Immunology & Allergy

Advice & Guidance Service - Haematology
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Clinical Haematology Department
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Haematology, Immunology & Allergy Immunology & Allergy

Immunology and Allergy Service (Adult)
Provider North Bristol NHS Trust
Referral Forms
  • No dedicated referral form required.
Flag(s) New!
Updated 29 Mar, 2024
New! Updated: 29 Mar, 2024

Health & Social Care Delivery

Individual Funding Request Application - Primary, Secondary and Tertiary Care
Provider Various
Referral Forms
Flag(s)
Updated 21 Jul, 2022
Updated: 21 Jul, 2022
Non-Emergency Patient Transport Service (NEPTS)
Provider E-zec Medical Transport Services Ltd
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Remote Monitoring (Telehealth)
Provider Baywater Healthcare
Referral Forms
Flag(s)
Updated 28 Jun, 2018
Updated: 28 Jun, 2018
Translation and Interpreting Services
Provider Various
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Infections

Covid Medicines Service
Provider gDoc
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Medicines Advice Service
Provider Specialist Pharmacy Service
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Post COVID Syndrome Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 7 Jun, 2023
Updated: 7 Jun, 2023

Lifestyle & Wellbeing

Arts on Prescription
Provider Artlift
Referral Forms
Flag(s)
Updated 9 Jun, 2022
Updated: 9 Jun, 2022
Befriending Service
Provider ReConnect Gloucestershire
Referral Forms
Flag(s)
Updated 28 Jul, 2022
Updated: 28 Jul, 2022
Cheltenham Borough Homes Residents Support Service
Provider Various
Referral Forms
Flag(s)
Updated 27 Apr, 2016
Updated: 27 Apr, 2016
Community Wellbeing Service (Social Prescribing)
Provider Various
Referral Forms
Flag(s)
Updated 21 Nov, 2022
Updated: 21 Nov, 2022
Drug & Alcohol Recovery Service
Provider Change, Grow, Live (CGL)
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 11 Aug, 2022
Updated: 11 Aug, 2022
Healthy Lifestyles Service
Provider Healthy Lifestyles Gloucestershire
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 14 Mar, 2024
Updated: 14 Mar, 2024
Self-Management Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 4 Oct, 2018
Updated: 4 Oct, 2018
Women’s Community Services
Provider Nelson Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Lifestyle & Wellbeing Physical Activity

Cancer Rehabilitation Exercise
Provider Various
Referral Forms
Flag(s)
Updated 25 Nov, 2019
Updated: 25 Nov, 2019
Exercise on Referral
Provider Various
Referral Forms
Flag(s)
Updated 2 Feb, 2017
Updated: 2 Feb, 2017
It's Your Move Programme
Provider Active Gloucestershire
Referral Forms
Flag(s)
Updated 1 Mar, 2022
Updated: 1 Mar, 2022
Physical Activity Programme
Provider KiActiv
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Mental Health, Behaviour & Neurodevelopmental

Advice & Guidance Service - Old Age Psychiatry
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Alexandra Wellbeing House
Provider Swindon & Gloucestershire Mind
Referral Forms
Flag(s)
Updated 18 May, 2023
Updated: 18 May, 2023
Attention Deficit Hyperactivity Disorder (ADHD) Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 22 Mar, 2024
Updated: 22 Mar, 2024
Autism Spectrum Condition (ASC) Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 10 Nov, 2020
Updated: 10 Nov, 2020
Care Home Support Team (Mental Health)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Community Autism Support & Advice (CASA) Service
Provider Independence Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 12 Jul, 2023
Updated: 12 Jul, 2023
Crisis Resolution & Home Treatment Teams (CRHTTs)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Eating Disorders Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 7 Mar, 2022
Updated: 7 Mar, 2022
First Point of Contact Centre (FPCC)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Gloucestershire Recovery in Psychosis (GRiP) Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Infant Mental Health Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 21 Mar, 2024
Updated: 21 Mar, 2024
Locality Community Partnership
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s) New!
Updated 15 Mar, 2024
New! Updated: 15 Mar, 2024
Mental Health Intermediate Care Team (Inc. NHS Talking Therapies)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 28 Jun, 2023
Updated: 28 Jun, 2023
Perinatal Mental Health Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 22 Mar, 2024
Updated: 22 Mar, 2024

Musculoskeletal / Orthopaedics

Bone Health Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 22 Aug, 2023
Updated: 22 Aug, 2023
Carpal Tunnel Service
Provider Independent Health Group
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Acute Trauma & Orthopaedics
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
MSK Advanced Practitioner Service (MSKAPS)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 31 Jan, 2024
Updated: 31 Jan, 2024
MSK Advanced Practitioner Service (MSKAPS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Orthopaedics Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 31 Jan, 2024
Updated: 31 Jan, 2024
Orthopaedics Service
Provider Winfield Hospital
Referral Forms
Flag(s)
Updated 31 Jan, 2024
Updated: 31 Jan, 2024
Orthopaedics Service
Provider Tetbury Hospital Trust
Referral Forms
Flag(s)
Updated 31 Jan, 2024
Updated: 31 Jan, 2024
Orthotics Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Orthotics Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Prior Approval - Orthopaedics/MSK
Provider Various
Referral Forms
Flag(s)
Updated 28 Jul, 2022
Updated: 28 Jul, 2022
Trauma Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 19 Oct, 2020
Updated: 19 Oct, 2020

Nephrology / Renal

Advice & Guidance Service - Renal
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Renal Medicine
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Nephrology (Renal) Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Neurology

Advice & Guidance Service - Neurology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
CFS/ME Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Acute Stroke
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Neurology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Parkinson's Disease Nurse Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Transient Ischaemic Attack (TIA) Assessment Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 12 Jan, 2022
Updated: 12 Jan, 2022

Neurology Acquired Brain Injury

Brain Injury Team
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Headway Gloucestershire
Provider Headway Gloucestershire
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 5 Sep, 2022
Updated: 5 Sep, 2022

Neurology Dementia

Dementia Adviser Service
Provider Alzheimer's Society
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 7 Feb, 2023
Updated: 7 Feb, 2023
Managing Memory Together
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 5 Apr, 2022
Updated: 5 Apr, 2022
Mindset (Post Dementia Diagnosis Support)
Provider Mindset
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 1 Sep, 2022
Updated: 1 Sep, 2022

Nutrition & Diet

Bariatric (Weight Loss) Surgical Team
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Coeliac Disease Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
NHS Digital Weight Management Programme
Provider NHS England
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Nutrition and Dietetics Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Refractory IBS Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 23 Jul, 2018
Updated: 23 Jul, 2018
Specialist Weight Management Service (Tier 3)
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 3 Apr, 2017
Updated: 3 Apr, 2017

Ophthalmology

Advice & Guidance Service - Ophthalmology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Community Urgent Eyecare Service (CUES)
Provider Primary Eyecare Services
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Emergency Eye Triage Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Ophthalmology Service
Provider Practice Plus Group (Emerson's Green)
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 5 Sep, 2022
Updated: 5 Sep, 2022
Ophthalmology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 24 Feb, 2016
Updated: 24 Feb, 2016
Ophthalmology Service
Provider Tetbury Hospital Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 5 Oct, 2017
Updated: 5 Oct, 2017
Ophthalmology Service
Provider Newmedica
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Ophthalmology Service
Provider SpaMedica
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Prior Approval - Ophthalmology
Provider Various
Referral Forms
Flag(s)
Updated 8 Aug, 2022
Updated: 8 Aug, 2022

Oral & Maxillofacial Surgery

Community Dental Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Oral & Maxillofacial Surgery Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 28 Nov, 2018
Updated: 28 Nov, 2018
Oral & Maxillofacial Surgery Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Pain Management

Advice & Guidance Service - Pain Management
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Chronic Pain Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Pain Management Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Population Groups

Population Groups Gender Identity

Gender Identity Clinic (GIC)
Provider Tavistock and Portman NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 14 Mar, 2024
Updated: 14 Mar, 2024

Population Groups Learning Disabilities

Community Learning Disability Team (CLDT)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Intensive Health Outreach Team (IHOT)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Learning Disabilities Inpatient Services
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Learning Disabilities Intensive Support Service (LDISS)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Learning Disability Hospital Liaison Nurses
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Population Groups Veterans

OpRESTORE
Provider The Veterans Physical Health & Wellbeing Service
Referral Forms
Flag(s) New!
Updated 5 Mar, 2024
New! Updated: 5 Mar, 2024

Respiratory

Advice & Guidance Service - Respiratory
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Acute Respiratory Advice & Review
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
FoD Community Exercise Scheme for Chronic Respiratory Disease
Provider Forest of Dean District Council
Referral Forms
Flag(s)
Updated 24 Feb, 2016
Updated: 24 Feb, 2016
Glos Community Exercise Scheme for Chronic Respiratory Disease
Provider Gloucestershire County Council
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 4 Apr, 2016
Updated: 4 Apr, 2016
Gloucester City Homes (GCH) Respiratory Scheme
Provider Gloucester City Homes (GCH)
Referral Forms
Flag(s)
Updated 30 Aug, 2022
Updated: 30 Aug, 2022
Gloucestershire Respiratory Service (Inc. Home Oxygen Assessment and Pulmonary Rehab)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 28 Feb, 2023
Updated: 28 Feb, 2023
Respiratory Medicine Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Respiratory Physiotherapy Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Flag(s)
Updated 26 Aug, 2021
Updated: 26 Aug, 2021
Respiratory Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Sleep Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 19 Oct, 2020
Updated: 19 Oct, 2020
Stroud Community Exercise Scheme for Chronic Respiratory Disease
Provider Stroud District Council
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 22 Jun, 2021
Updated: 22 Jun, 2021
Tuberculosis Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Rheumatology

Adult Early Inflammatory Arthritis (EIA) Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 31 Jan, 2023
Updated: 31 Jan, 2023
Advice & Guidance Service - Rheumatology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Rheumatology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Sexual Health

Sexual Health Service - Hope House
Provider Gloucestershire Health and Care NHSFT
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 24 May, 2022
Updated: 24 May, 2022

Social Care

Adult Social Care Service
Provider Gloucestershire County Council
Referral Forms
Flag(s)
Updated 28 Jun, 2023
Updated: 28 Jun, 2023
Advocacy Services (POhWER)
Provider POhWER Advocacy Services Gloucestershire
Referral Forms
Flag(s)
Updated 15 Oct, 2019
Updated: 15 Oct, 2019
Community Equipment Service
Provider GIS Healthcare
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Gloucestershire Carers Hub (Adults)
Provider Gloucestershire County Council
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 19 Apr, 2022
Updated: 19 Apr, 2022

Social Care Safeguarding (Adults)

Urgent Care

Minor Injury & Illness Unit (MIIU)
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Minor Injury and Illness Units (MIIU)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Primary Care Transfer Form (NEWS)
Provider Various
Referral Forms
Flag(s)
Updated 2 Jun, 2020
Updated: 2 Jun, 2020
Rapid Response Service
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Single Point of Clinical Access (SPCA)
Provider Gloucestershire Health and Care NHSFT
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024

Urology

Advice & Guidance Service - Urology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Cinapsis - Urology
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Flag(s)
Updated 7 Feb, 2024
Updated: 7 Feb, 2024
Gloucestershire Specialist Bladder & Bowel Health Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
Flag(s)
Updated 14 Jan, 2021
Updated: 14 Jan, 2021
Prior Approval - Urology
Provider Various
Referral Forms
Flag(s)
Updated 13 Jan, 2017
Updated: 13 Jan, 2017
Urology Service
Provider Practice Plus Group (Emerson's Green)
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 31 Mar, 2021
Updated: 31 Mar, 2021
Urology Service
Provider GP Care
Referral Forms
Related Clinical Topic(s)
Flag(s)
Updated 18 Aug, 2020
Updated: 18 Aug, 2020
Urology Service
Provider Tetbury Hospital Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Urology Service
Provider Gloucestershire Hospitals NHS Foundation Trust
Referral Forms
  • No dedicated referral form required.
Related Clinical Topic(s)
Flag(s)
Updated 29 Mar, 2024
Updated: 29 Mar, 2024
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Vascular Surgery

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Varicose Vein Referral
Provider Various
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Updated 29 Mar, 2024
Updated: 29 Mar, 2024
Vascular Surgery Service (Acute)
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Updated 19 Jul, 2022
Updated: 19 Jul, 2022