Referring to our services

We are committed to making the referral process easy, efficient and reliable for both you as a referrer and for your patients.

Our aim is to ensure that all patients waiting for an outpatient appointment, diagnostic test, elective or planned admission are managed in line with National Waiting List Guidance, the NHS Constitution (opens in a new window) and the NHS Operating Framework. This includes patients with a suspected cancer diagnosis.

Allergy

Audiology

Cardiology

Cardiology Quick View developed in collaboration with Sutton Place

Cardio OP Referral Quick View Apr 2025 v1.1 (1).pdf [pdf] 135KB

Three SWL Cardiology Pathways

Three SWL pathways - HF, AF, Chest Pain [pptx] 718KB

Rapid access chest pain clinic
RACPC-Referral-form-trustwide-V3 (1) Updated (3).docx [docx] 41KB

Rapid Access Heart Function Clinic
RAPID ACCESS HEART FUNCTION REFERRAL FORM - Revised (5) June 2023.docx [docx] 47KB

Low Risk Chest Pain SDEC Pathway

Low Risk Chest Pain SDEC Pathway V1.5.pdf [pdf] 407KB

Arrhythmia Referral Form

02. Arrhythmia (4) (1) March 2023 - Updated June 2023.docx [docx] 39KB

General Cardiology Referral Form

04. General Cardio Referral Form March 2023.docx [docx] 42KB

Chemical Pathology

Chronic Fatigue Syndrome

Chronic Fatigue Syndrome GP referral form[doc] 73KB

For more information, please see chronic fatigue syndrome.

COPE - Centre of Pain Education

For information about referring to the Centre of Pain Education (COPE) please see our leaflet called Information for referrers [pdf] 348KB

COPE ERS form 2024

COTE - Care of the Elderly

Dermatology

GP Guidance for Dermatology Advice and Guidance - v0.1 Derm A&G Guidance for GPs.docx [docx] 52KB
Paediatric Weekender Regime - Eczema Treatment Plan - Weekender Regime Paediatric.pdf [pdf] 665KB
Dermatology Quick View - 1.3v ESTH and Sutton Dermatology Quick View April 2025.pdf [pdf] 525KB
Guidelines for the Management of Viral Warts - Management-of-Viral-Warts.pdf 159KB

South West London ICS Dermatology Clinical Guidelines:

Parent Advice Videos - Paediatric Eczema kindly provided by St George's consultants

https://www.southwestlondonics.org.uk/our-work/dermatology/paediatric-eczema/

Sutton GPs - Please consider Sutton Skin Lesion clinic prior to referral. Please see your GP team net for more information.

Diabetic Medicine

Ear, Nose and Throat

Endocrinology

Management of Hyponatraemia s3.Management_of_Hyponatraemia (2).pdf [pdf] 275KB

Endocrinology Sutton and ESTH Outpatient Referral Quick View

v1.4 Endocrinology OP Referral Quick View May 2025.pdf [pdf] 244KB

Gastroenterology

v0.7 Gastroenterology NAFLD pathways.pptx [pptx] 187KB

Constipation Guidance Constipation v6.docx [docx] 287KB

IBD Management IBD Management v5.pptx [pptx] 221KB

IBS Management IBS Management v 5.pptx [pptx] 224KB

Sutton and ESTH Gastroenterology Quick View v1.2 ESTH Sutton Gastroenterology OP Referral Quick View Feb 2025.pdf [pdf] 166KB

General Surgery

Gynaecology

PCOS leaflet - https://www.rcog.org.uk/media/vjyhbk3a/pi_pcos_update-2022_large.pdf
SWL Menopause Pathway (this document is currently being reviewed by Sutton Place and Surrey Downs Place) - Menopause-and-Hormone-Replacement-Therapy-HRT-Guidelines-for-South-West-London.pdf [pdf]
Pan London Urgent Suspected Gynaecological Cancer Referral Form.docx [docx] 39KB
For Urogynaecology resources including the SWL Urogynaecology Pathways click here

Haematology

Immunology

Maternity

Pregnancy referral form (June 2016) [doc] 51KB

Maxillo Facial

Management of TMJ pain dysfunction [doc] 33KB

Nephrology (Renal)

In 2014 NICE updated their clinical guideline on the identification and management of Chronic Kidney Disease. This local guideline reflects these national changes, and also provides concise advice on key CKD management issues relevant to primary care.

Neurology

Neurology Outpatient Referral Decision Support Tool - Quick View - Neurology Outpatient Referrals Sutton Quick View Jan 2023.pdf [pdf] 212KB
SWL Headache Pathway - South-West-London-Headache-Pathway-SWL-version-v6.1 (1).pdf [pdf] 234KB
SWL Headache Referral Form - SWL regional-headache-referral-form-Final-Sept-20.docx [docx] 56KB

For more information on our Neurology service, please click here for our Neurology service page

Please be advised that the Neurology Service at ESTH does not provide:

Neuro Physiology - this service is provided at ESTH by another team. The team can be contacted via esth.neurophysiology@nhs.net
Neuro psychology - this service is provided locally at St George's.
Stroke - for queries to this service please use the following email. This is monitored daily.
- At St Helier, the Stroke team can be contacted for advice about TIA referrals on 07791 123 499 (Monday - Thursday, 8am - 4pm and Friday, 8am - 12noon). At Epsom, please call 01372 735379 or alternatively bleep 971 to discuss with the stroke nurse.
- stroke-sth@nhs.net (St Helier) or est-tr.epsomstroke@nhs.net (Epsom). The referral forms and pathway can be found https://www.epsom-sthelier.nhs.uk/referring-to-our-services.

Neuro surgery (StG) - Neurosurgical care is provided locally at St George's - Referral submission instructions for the service can be found on the St George's public facing page in the GP & clinicians area under “urgent referrals” - Urgent referrals - St George's University Hospitals NHS Foundation Trust (stgeorges.nhs.uk)

Ophthalmology

Oral Surgery

Orthotics

Pain

Pain referral guide[pptx] 184KB

Plastic Surgery

Paediatrics (Children and Young People)

Community Paediatric Referral Criteria 2024

Community Paediatric Referral Form 2024

Respiratory

Sutton and ESTH Respiratory Quick View v1.1 ESTH Sutton Respiratory OP Referral Quick View Oct 2024.pptx [pptx] 94KB

Sleep Disorders and Sleep Apnoea - QVH or St George's

Please note that Epsom and St Helier University Hospital Trust doesn't provide a Sleep Apnoea or Sleep disorder service. Please refer any patients for sleep apnoea or sleep disorders to the sleep services that are local to the patient. The two closest services are at St George's University Hospital Trust or at the Queen Victoria Hospital.

For more information on our Respiratory service

Please click here for our Respiratory service page.

Rheumatology

SWL Hot Joint Pathway [pdf] 253KB

British Society of Rheumatology Referral Guidelines for GPs

The BSR have published updated Referral guidelines for GPs. These guidelines list the conditions for which GPs can refer to Rheumatology and the conditions which should not be referred to Rheumatology as they can be managed in primary care or should be referred to alternative specialties. https://www.rheumatology.org.uk/Portals/0/Documents/Policy/Adult-rheumatology-referral-guidance.pdf?ver=2021-10-05-142645-127

Information regarding Pain and Fibromyalgia Referrals

Fibromyalgia and chronic pain can be diagnosed and managed in primary care. Most patients can be referred directly to Pain management clinics and do not need to be referred to Rheumatology. South West London CCG Rheumatology Network have devised a Widespread Chronic Pain Triage Widespread Pain Pathway [pdf] 208KB and Diagnosis tool for GPs ( New Clinical Fibromyalgia Diagnostic Criteria [pdf] 219KB ) The Royal College of Physicians have produced extensive guidance to help GPs diagnose and manage Fibromyalgia in primary care. https://www.rcplondon.ac.uk/guidelines-policy/diagnosis-fibromyalgia-syndrome

Early Inflammatory Arthritis clinic

GPs are advised to submit a completed "Early Inflammatory Arthritis (EIA) referral form" along with referral letter when referring patients with for Suspected Early Inflammatory Arthritis. Rheumatology Referral Form for Suspected Early Inflammatory Arthritis [docx] 19KB. This form should be completed and submitted along with referral letter for all referrals for "suspected early inflammatory arthritis". Please see ESTH Rheumatology Directory of Service on ERS.

Suspected Giant Cell Arteritis

GPs should refer these patients urgently (same-day) by calling the Rheumatology on-call Consultant or Registrar via telephone during working hours 0900-16:45 Monday- Friday (via hospital switchboard 0208 296 2000 bleep 490). Outside these hours, patients should be referred to the Medical Registrar on-call via hospital switchboard (Telephone no. 0208 296 2000) GCA pathway[pdf] 146KB
Patients with visual symptoms should be referred same day to the Urgent Eye Casualty Acute Eye clinic at St Helier Hospital (Telephone no. 0208 296 3817) during Monday to Friday 08:30-16:30. Outside these hours the on-call ophthalmology service for South West Thames is based at St George’s Hospital and operates after 5pm weekdays, at weekends and on bank holidays. The on-call Ophthalmology team should be contacted via St. Georges Hospital switchboard number 020 8672 1255.

Speech and Language Therapy

Stroke (TIA)

Referrals for Transient Ischaemic Attack (TIA) patients should follow the TIA pathways for each site.
Please use the appropriate referral form (see below) and email it to stroke-sth@nhs.net (St Helier) or est-tr.epsomstroke@nhs.net (Epsom). Our fax machines are no longer in use. Do not send referrals by post in order to ensure patients are seen promptly.
At St Helier, the Stroke team can be contacted for advice about TIA referrals on 07791 123 499 (Monday - Thursday, 8am - 4pm and Friday, 8am - 12noon). At Epsom, please call 01372 735379 or alternatively bleep 971 to discuss with the stroke nurse.

It is important that patients are referred in a timely manner ?to minimise the risk of stroke.

Transplantation Surgery

Trauma and Orthopaedics

Ingrown Toe Nail Management Advice

v0.8 Ingrown Toe Nails Mar 2024.pptx [pptx] 134KB

Urology

Patients to submit their IPSS questionnaire and bladder diary to sthegh.urology@nhs.net (Urology POD).

Referring to our services

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