Enhanced service specification – General Practice Requests for Advice and Guidance (NHSE, 27 March 2026)

Summary

Partnership working between Consultant Specialists and GPs is front and centre to the Government’s commitment to move patient care closer to home. Pre referral advice and guidance supports integrated care and peer to peer learning as well as service improvement. General Practices across the country already support advice and guidance pathways, which are intended to help to ensure patients receive care in the right place at the right time. However, advice and guidance pathways have workload implications for both general practice and secondary care. This document from NHS England gives more information about General Practice Requests for Advice and Guidance (A&G) pathway.