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Healthcare Professionals

e-Referral Service (e-RS) in Teledermatology

Teledermatology can be incorporated into mainstream delivery of patient care using the NHS e-Referral service (e-RS) as;

Images can be attached to e-RS Advice and Guidance requests and Referral Assessment Service referrals. 

All GP practices in England should now be using the NHS e-Referral Service (e-RS) to refer into consultant-led out-patient clinics (NHS Standard Contract since October 2018).

From 1 February 2021 additional functionality has been added to E-Referral.

Full details of the changes can be found at:  A&G functionality changes

Clinicians now have the opportunity, where indicated by the GP, to convert an advice request into a referral without the need to send it back to the originating GP. This is to reduce the burden on GPs and streamline patient care.

Important- To avoid having to search for services and appointment slots, please only select  Convert this to a referral and Request admin team to refer the patient



This will allow the advice request to be moved from the Advice & Guidance work list into the “Appointments for Booking” work list.  From this list, the Administrative Team will be able to see the request and process it appropriately


  • Please continue to manage as many patients with advice as possible and appropriate, given the long waiting lists
  • If converting, please still give as much educational advice back as possible to help the GP manage the patient in the interim
  • Ensure local pathways are in place if upgrading A&G to 2WW 

Quick NHS Reference Guides for Clinicians using e-RS for teledermatology (A&G, referral review and triage)

The following quick reference guides have been created to support Clinicians to carry out e-RS A&G and referral triage online via e-RS. 

Quick guide for clinicians reviewing Advice and Guidance Requests

Quick guide for clinicians reviewing referral Assessment service (RAS) referrals

Useful resources for e-RS:

Advice and Guidance Toolkit Advice and guidance supports the NHS long term plan to use digital technology to redesign clinical pathways and reduce unnecessary hospital referrals. The e-RS A&G Toolkit supports clinicians, commissioners and service managers develop A&G services across a range of specialties.

Advice and Guidance High Impact Intervention Guides September 2020 - National Elective Care Recovery and Transformation Programme guides

Specimen e-RS teledermatology consent form - including patient information about teledermatology and additional consent for use of images for teaching health care professionals

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