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.


Chemical Pathology

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

SWL Pain Clinic Referral Form vCOPE (Nov 2023)

COTE - Care of the Elderly


South West London ICS Dermatology Clinical Guidelines: 

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

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


General Surgery



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.


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  
  • 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.


Oral Surgery


Plastic Surgery


Referral guidance will follow in due course. 

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. 


British Society of Rheumatology Referral Guidelines for GPs


Information regarding Pain and Fibromyalgia Referrals


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 (St Helier) or (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


Get connected

  • Like us on Facebook 
  • Follow us on Twitter
  • Follow us on LinkedIn 
  • Reviews on NHS Choices
  • Watch our videos


  • Like us on Facebook
  • Follow us on Twitter 
  • Follow us on LinkedIn
  • Review on NHS Choices
  • Watch our videos

NHS image placement

Healthy Workplace Achievement Award 2016 NHS Choices