What happens after a GP referral is sent?

Once a referral is submitted, it is reviewed by the receiving hospital or specialist service. This process is known as triage.

During triage, clinicians assess:

  • the reason for referral
  • the information provided by the GP
  • any test results already available
  • urgency and clinical risk

Based on this review, the service decides the most appropriate next step.

Not all referrals are seen in the order they are received. Appointments are prioritised according to clinical need.

In some cases:

  • you may be offered an appointment quickly
  • you may be booked for investigations first
  • the referral may be redirected to a different service
  • additional information may be requested

Urgent referrals, such as those made under specific pathways, are prioritised accordingly.

Hospitals usually contact patients directly. This may be by:

  • letter
  • email
  • phone call
  • patient portal or app

It is important to check correspondence carefully, as appointment details and instructions are often included.

If you move address or change contact details, updating this promptly helps avoid delays.

Outpatient appointments vary by specialty, but most involve a discussion about your symptoms and medical history. The clinician may review previous test results, ask further questions, and explain what they think is going on.

Some appointments involve examination or tests on the same day, while others focus on assessment and planning. You may be advised about treatment options, further investigations, follow up, or discharge back to your GP.

Investigations and test results

Investigations can happen either before or after an outpatient appointment. This depends on the pathway used and the nature of your symptoms.

Results are sometimes discussed during the appointment, but in many cases they are sent later by letter or shared with your GP. It is common for results to take time, particularly if specialist interpretation is needed.

What happens after the appointment?

After your outpatient appointment:

  • results may be explained immediately or sent later
  • follow up appointments may be arranged
  • treatment may be started
  • you may be discharged back to your GP

A summary letter is usually sent to your GP, outlining findings and the plan.

What if you are discharged back to your GP?

Many people worry that discharge means their problem has been dismissed. In most cases, discharge simply means:

  • no specialist follow up is needed at that time
  • monitoring can safely continue in primary care
  • symptoms have resolved or are stable

If symptoms change or worsen, re referral can be considered.

Delays and waiting times

Waiting times vary widely depending on specialty, urgency, and local demand. Delays can be frustrating and anxiety-provoking.

If your symptoms worsen while you are waiting, or you become concerned about new symptoms, it is appropriate to seek further medical advice rather than waiting for a scheduled appointment.

How a remote GP consultation can still help

Even after a referral has been made, a remote GP consultation can be useful to:

  • explain letters or results
  • discuss what to expect at appointments
  • help interpret specialist advice
  • provide reassurance or safety netting
  • advise on next steps if symptoms change

This can be particularly helpful if you are unsure what a hospital letter means.


Further Reading and Hub Links

Visit our Understanding Your Health hub or browse more health topics in the AccessGP Knowledge Base.

If you would like help understanding a referral or hospital letter, a GP can advise on the safest next step.

Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 5 February 2026