E referralsBirmingham Women's and Children's NHS Foundation Trust

Birmingham Women’s and Children will switch off all paper referrals from GPs for all specialities on 31 July 2018.

In terms of the Children’s Hospital, preparatory work is on track according to the agreed plan. Specialties have been divided into four cohorts. Preparatory work completed with cohorts one and two, including General Paeds, Trauma & Orthopaedics, Dermatology, ENT, Paediatric Surgery and Urology and Ophalmology.

In terms of the Women’s Hospital, all clinics slots are now polled to eRS and the Directory of Service is now up to date.

Heart of England NHS Foundation Trust

Heart of England’s (HEFT’s) date for complete paper switch off for GP referrals in to consultant led outpatient services is 1 August 2018. To support this there will be a phased roll out of services that will only be accepting GP referrals electronically via eRS, the full project plan detailing the phased roll out is available.

As services switch off paper referrals the Trust will be communicating with GPs to return any paper referrals back to them. Patients will not receive an appointment until a referral has been referred in via eRS. It is also important to ensure that referral letters are attached to eRS within the agreed timeframes to avoid delays.

To ensure individual services are ready for the roll out of eRS HEFT has been working on the information contained in the directory of services and also the capacity within those specialities to ensure that GPs are able to access appointments. There will be ongoing communications with individual GP practices over the course of the roll out but if you have any queries or problems finding clinics on eRS then email This email address is being protected from spambots. You need JavaScript enabled to view it.

Royal Orthopaedic Hospital NHS Foundation Trust

All the services listed are now accessible via e-referral at The Royal Orthopaedic Hospital. Please use e-referrals with immediate effect.

University Hospitals Birmingham NHS Foundation Trust

University Hospitals Birmingham (UHB) has agreed with NHS England to deliver paper switch-off for GP referrals across all specialties by 31 May 2018.

UHB will be piloting their paper referral rejection process in Endocrinology and Diabetic Medicine from Monday 26 February, ahead of delivering a phased switch-off across all other specialties throughout April-May 2018. To be clear; from 26 February all referrals to Endocrinology and Diabetic Medicine at UHB MUST be sent via eRS (formerly Choose and Book).

Referrals not sent by eRS will be returned to the referring practice and will need to be done again via eRS. Patients will not be given an appointment until the referral is made by eRS. Urgent referrals can still be sent using current methods whilst the electronic pathway is developed.

Work is currently underway with the other local CCGs and UHB’s specialty teams to prepare them for the move to a total e-Referrals service. Once GP paper referrals have been switched off, UHB’s administration teams will be enacting a rejection process to return paper referrals back to the relevant Practice. Over the coming weeks UHB will be providing practices with more detail about this pilot and the process for returned referrals. Please ensure all your staff are aware of this change.

Further advice:

  • For detailed guidance on referring to UHB, please see UHB’s Directory of Services (DoS) from the links within e-RS.
  • For help on using e-RS please use the help pages accessed top left of e-RS home screen.
  • If you have any queries or problems finding clinics on eRS then email This email address is being protected from spambots. You need JavaScript enabled to view it.
  • If you need further training in using eRS then contact your IT support service.
  • ERS user group Q&As

The project role out plan is here.

List of Trust Paper Switch Off projects completed and due to complete

Open PSO projects

Completed PSO projects