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Advice and Guidance

Advice and Guidance (A&G) services provide primary care with continued access to specialist clinical advice, enabling a patient’s care to be managed in the most appropriate setting, strengthening shared decision making and avoiding unnecessary outpatient activity.

What is Advice and Guidance?

A&G is defined as non-face-to-face activity delivered by consultant-led services which can be via telephone, through NHS e-Referral Service, or through other agreed IT platforms or email addresses. By providing a digital communication channel, A&G allows a primary care clinician to seek advice from another (usually a specialist) prior to or instead of referral.

Reasons why a clinician may wish to seek advice and guidance include:

  • Asking another clinician or specialist for their advice on a treatment plan
  • Asking for clarification regarding a patient’s test results
  • Seeking advice on the appropriateness of a referral
  • Identifying the most clinically appropriate service to refer a patient into

How to access A&G at the Royal Orthopaedic Hospital:

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