Does my GP has to ask CCG for funding first before doing an out of area referral?

I have been to see an endocrinologist in London privately and he says I can ask my GP to refer myself to him on the NHS. I just wanted to know as its outside my CCG whether my GP has to make a request for funding for this or whether she can just refer me straight away? Its just that I have needed to be referred out of area before for an urgent referral to a specialist service that is only offered at that hospital in London and I had to wait a month before the referral could go off while she waited for approval for funding for this. She said she has to do this for any referrals out of area, I just don't want to have to wait a month for this one to go off.

I also have been told funding was not granted before for a different appointment out of area as there are consultants locally that can treat me, even though I thought you were allowed to choose your consultant regardless of location? Any help with clarification on this would be great, thanks.

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  • Yes your area has to pay for the appointment. I have been seeing an Endo out of area for six years. The mad thing is, that if I lived in his area I would have been discharged after a couple of visits.

    I have moved house and had to change GP so I don't know whether they are going to find me seeing him anymore, I am waiting to hear whether they will fund my medication first, worrying.

    Sue

    thyroiduk.org

  • Thanks Sue, so can they stop your funding then, I thought you were allowed to choose any consultant from any hospital you decide? I don't understand that if they have a legal requirement for anyone to have the "right to choose which hospital to go to for your first outpatient appointment and which consultant-led team will be in charge of your treatment", they can then say no? That means their statement about choice is not correct, doesn't it?

    Lizbie

  • Hi,

    According to someone in the know that I see you are legally entitled to a 2nd opinion.

    I was under an endo in Lancashire as the less said about our local chap the better & am under a Manchester hospital now for treatment.

    I had to really push my GP to get out of area but after 3 years of surgery treatment that had only made me feel much worse I was in the mood to sit there until he agreed !! There was no mention of funding, just a lot of lame reasons like they wouldn't be able to see my blood tests on the system. Perhaps say that this doctor has requested that you do this ?

    Good luck x

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