NHS e-Referral Service changes

Monday 25 September 2017

Many RCR Fellows are routinely seeing patients in an outpatient setting, particularly before and after interventional procedures. Some of these referrals will come from consultant teams and others from primary care. Such outpatient activity is encouraged by the RCR and the General Medical Council (GMC) to allow patients to consult an expert before undertaking invasive treatments and to ensure appropriate aftercare. Radiology clinics are subject to a tariff payment, should be programmed into routine work and be available for booking via e-referral.

Fellows and members should be aware that the NHS e-referral Roadmap states an expectation that there will be availability of online patient booking and that for 2017–18 there is a Commissioning for Quality and Innovation (CQUIN) payment available to incentivize providers to publish all services and appointment slots on the NHS e-Referral service. In addition, from 1 October 2018, providers will no longer be paid for activity which results from referrals made other than through the NHS e-Referral Service.

If a patient is admitted under radiology, the radiology department will receive the tariff minus the Trust Internal Financial Flow (TIFF) share. If a patient is admitted under another department, the radiology department will acquire the TIFF share, with the admitting directorate receiving the bulk of the tariff.

Therefore, we would encourage all radiologists to consult with patients undergoing elective interventions in outpatients, have these available on the trust’s directory of services, attract the appropriate tariff income for your department and ensure availability of online patient booking for e-referral.