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REMEDY : BNSSG referral pathways & Joint Formulary

Referrals (Routine) - Updates

Checked: 09-02-2021 by vicky.ryan Next Review: 08-02-2022


Updated 12.1.21

We will endeavour to update this page regularly during the COVID-19 pandemic to summarise the current state of play regarding routine referrals.

Please consider use of Advice & Guidance services where possible prior to considering a referral.

Cancer services, HOT clinics and urgent referrals should still be available across all services

Secondary Care Referrals

Routine referrals for adults are open at NBT, UHBW and RUH Bath and for children at BRCH via eRS but access to services may be restricted at this time.

Practices who use the BNSSG Referral Support Service may have their referrals triaged by the Referral Service Team. Referrals may be returned with advice to consider alternative care pathways.

Some referrals will sent to a Referral Assessment Service (RAS) destination where the referral will be triaged in secondary care and may be returned with advice or directed to the most appropriate service.

Patients may be offered a telephone or video consultation rather than a face to face appointment, so please ensure that referrals contain an up to date telephone number for them or their carer. Patients who are referred routinely will currently be offered a choice of a trust provider if this is available, although choices may be restricted at this time. 


AQP Referrals

Referrals to AQP (any qualified provider) organisations are still available but may be restricted.


Audiology - We are now able to offer choice of any qualified providers (AQPs) for audiology

Ophthalmology - Bristol Eye Hospital and NewMedica are open to routine Ophthalmology referrals.

DVT/SVT - DVT and SVT referrals can go to the GP Care DVT service.

Urology - Routine referrals can go to GP Care Urology.

Endoscopy - Prime are open to routine endoscopy referrals but there may be long waits. Urgent referrals will be prioritised 


Emersons Green can now be included in patients choices (especially for ophthalmology referrals) for all treatments they offer.

Spire, Nuffield and Circle Bath are open to referrals but services may be restricted while these providers support acute trusts.

Community Referrals

Referrals continue to be through the Sirona Single Point of Access – 0300 125 6789 – or via the following email addresses:


North Somerset:

South Gloucestershire:

Service change updates will be made on Remedy, TeamNet and on the Sirona website

Mental Health Referrals

AWP routine referrals to reopen from 15 February

  • Please use the usual AWP referral routes for both routine and urgent services. There may be a slight delay to our normal response times at first – thank you for bearing with us as we get back up to speed.
  • AWP continue to manage demand as a system, supporting the most vulnerable patients with effective home treatment and minimising the number of people admitted to hospital. Closer partnership working with the voluntary sector means they are able to offer alternative support to patients where appropriate.
  • AWP will continue to work closely with primary care colleagues in the months ahead to further develop services that focus on providing the best and most accessible care. If you have thoughts on this, please contact Eva Dietrich on