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Health Services

Asked by Helen MorganLiberal DemocratDepartment of Health and Social CareTabled Answered 19 June 2026UIN 4448

The question

To ask the Secretary of State for Health and Social Care, what steps NHS England is taking to ensure that Single Point of Access pathways do not prevent patients being referred to consultant-led services where GPs consider it clinically appropriate.

Answered by Karin Smyth

Under Single Point of Access Pathways, general practitioners (GPs) should continue to make a clinical decision to refer for specialist care where that is in the patient’s best interests. GPs retain responsibility for referral decisions, and this model supports, and does not replace, clinical judgement. It is important to emphasise that the clinical threshold for a referral remains unchanged.

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