Interface Guidance

Guidance spelled out in blocks.

This page features guidance on the interface between primary and secondary care.

Declined Referrals: Advice and Guidance – LMC Template Letter

LMC template letter for practices to use when appropriate referrals are rejected, and Advice and Guidance offered.

Workload Rejection – LMC Template Letter

LMC template letter for practices to use when declining requests that are not part of the core GMS/PMS general practice contract. Please note when you download and open the letter you need to click Enable Editing to be able to use the drop down box in the letter.

LMC Guidance on Tasking in Clinical Systems

This guidance outlines the LMC’s position on ‘Tasks’, which is that they should not be used as a method of communicating between providers and GP practices. It includes guidance for practices on how to respond to ‘Tasks’ as a communications route from other providers.

Pathway and Policy Repository (PPR)

Links to the HNY Policy and Pathway Repository (PPR), which offers a centralised, accessible, and user-driven repository of up-to-date, consistent referral clinical commissioning policies and clinical pathways.

Consensus on the Primary and Secondary Care Interface – Northern Lincolnshire

This May 2024 publication was produced to summarise the consensus of key stakeholders in North and North East Lincolnshire on the responsibilities of clinicians in both secondary and primary care in relation to interface issues. It includes principles to follow for both primary and secondary care. Download the document.

Medical Examiner Process – North Bank

As of April 2024, a new statutory medical examiner (ME) process applies in England and Wales. These guidance documents apply to the north bank on referrals to the medical examiner:

Medical Examiner Community Communications – South Bank

As of April 2024, a new statutory medical examiner (ME) process applies in England and Wales. South Bank colleagues have provided background information on this process, as well as information about the local ME services.  This document contains a list of ME staff. Local ME services are also asking for assistance from practices to pilot their new processes. Until this becomes a statutory requirement, engaging in this process remains voluntary. Contact details are contained in the document.

Private Provider Interface

The LMC has published guidance on the interface between primary care and private providers, which continues to be a significant source of unresourced workload. Read more.

York and Scarborough Primary-Secondary Interface Agreement

Agreement covering how primary and secondary care services will work together in the best interests of patients. Read the agreement.