Technical Guidance

Section 3.2: Providers will only be paid for the resulting first outpatient attendance where the GP referral was made through ERS

Section 39.25: A provider is not necessarily required to send a clinic letter to the GP after each individual clinic attendance – this will depend on the individual clinical circumstances, as set out in SC11.8.

Service Conditions

11.7: Where, in the course of delivering an outpatient Service to a Service User, the Provider becomes aware of any matter or requirement pertinent to that Service User’s ongoing care and treatment which would necessitate the Service User’s GP taking prompt action, the Provider must communicate this by issue of a Clinic Letter to the Service User’s GP. The Provider must send the Clinic Letter as soon as reasonably practicable and in any event within 7 days following the Service User’s outpatient attendance. With effect from 1 October 2018, the Provider must issue such Clinic Letters using an applicable Delivery Method

Additional Information

https://www.england.nhs.uk/publication/nhs-standard-contract-2017-18-and-2018-19-technical-guidance/

https://www.england.nhs.uk/publication/nhs-standard-contract-201718-and-201819-service-conditions-full-length

Does the new guidance apply to only the first consultant led outpatient appointment outcome letter, or all subsequent consultation led outpatient clinic outcome letters?