Striking the balance: Making SMART referral systems work for everyone

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Reducing burden for GPs, improving clarity for specialists

By Estelle Williams, Clinical Specialist at DXS

Referral systems are vital in ensuring patients receive timely and appropriate care, but their design and use need careful balance.

On the one hand, primary care must not be overburdened with lengthy or duplicative referral forms; on the other hand, secondary care and community services require sufficient detail to act effectively and avoid delays.

The key lies in clarity, standardisation, and balance.

Standardised referral templates should capture only essential clinical information, avoiding unnecessary repetition of data. When electronic health records are in place, referral systems should auto-populate core fields, reducing administrative load for GPs.

Equally, the receiving services should have confidence that the information provided is structured, concise, and clinically relevant to support safe triage and continuity of care.

Collaborative design and regular review of referral forms ensure they meet the needs of both sides. Feedback loops are important to highlight where critical details are consistently missing, raising concerns if forms become too burdensome.

Ultimately, the most efficient referral system is one that enhances communication, saves time, and centres on patient safety. By working jointly with our SMART referrals across care settings, we can streamline referrals to benefit both clinicians and patients.

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