GP requests for pre-referral specialist advice, by type and outcome, January 2019 to August 2025

Source: Institute for Government analysis of NHS England, ‘National advice and guidance data and case reports, March 2023’, NHS England, 'Specialist advice activity data' ('All types of specialist advice' table), August 2025.Notes: Figures refer to England. 'Advice and guidance' is a type of pre-referral specialist advice. The NHS stopped publishing advice and guidance data in March 2023. The number of processed requests and diverted referrals often looks lower in recent months due to a time lag between the request being submitted and the appropriate person responding. We do not include the most recent two months of those time series for that reason.Get the data Download image
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