This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Advice for patients on what to expect if you have been referred to the hospital specialist.  

All Brent GP practices are recommended to use BROS (Brent referral optimisation service) to arrange booking for your appointment, for more information in regards to BROS please select the BROS tab within services section of this website.

Please read this information carefully; it may save you an unnecessary trip to the surgery by talking this process through with your specialist. 



  • Looking after all your tests, including appointments and managing the results 
  • Providing prescriptions when needed 
  • Issuing a sick note if required 
  • Providing you with a follow up appointment if necessary. 

Tests & Investigations 

All tests and investigations required by the specialists must be ordered by them and the appointments sent to you from the clinic. If the specialist requires blood tests he/she should arrange for this to be done at the clinic at the same time as your appointment. For follow-up tests, he/she should provide you with a completed request form for you to take to your practice. You may need to make an appointment for this. 

The specialist is responsible for acting upon the results of any test he/she requests and for informing you of the results. If you haven’t heard from the specialist about a test result, please ring his or her secretary at the hospital. Unfortunately, your surgery may not know the result and will not know what the specialist intended to do with the information. 


If the specialist prescribes a new medication or changes one that you are on, they should include details of this in the letter they write to your GP. They may also give you a hand-written note to take to your GP practice so that they can issue you with a prescription. 

If you are uncertain what changes the specialist is making, please ask them to explain it to you at the appointment. It saves you having to see your GP to discuss something he or she may only know of from a short letter of explanation. 

 Sick or Fit Note (Med3) 

If you need to be certified as unfit for work as a result of your condition, or the treatment provided by your specialist (or therapist) he or she should issue a sick note when you are discharged from hospital or seen in the clinic. Please ask your specialist for a sick line if you need one. 

 Follow Up Appointments 

If you need to be seen again the hospital will provide you with another appointment. Please contact the specialists’ secretary if it does not arrive in a timely way. 

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website