Referrals, Letters & Self Referrals

If you have attended an appointment with your GP & it has been confirmed that a letter or referral is required - please be aware that this can take around 7 to 10 working days to action; our Secretarial team will be guided by the GP's as to its urgency. During holiday periods / staff absence, this may take longer dependant on staffing levels.

NHS England, British Medical Association (BMA) and the National Association for Patient Participation (NAPP), have come together to produce a patient facing leaflet which describes what a patient can expect to happen if they are referred by their GP to see a specialist or consultant at a hospital or a community health centre.

A copy of this leaflet is available at: or click here 'What happens when you are referred leaflet'

Patient Contact Centre (PCC) - Princess Alexandra Hospital: 01279 827391

Patient Contact Centre is available for patients to enquire about follow up hospital appointments - please call 01279 827391. The PCC are able to speak to patients directly, and can provide information regarding whether you are currently on a consultant's waiting list, and when you may expect to get an appointment. On occasion they may even able to offer an appointment date.

The majority of patients can now speak to someone about their hospital appointment from 8:00am – 8:00pm Monday to Friday and 9:00-13:00 Saturday thanks to the introduction of a new service.

The Princess Alexandra Hospital NHS Trust has centralised the service for the majority of clinical areas to give members of the public the ability to discuss their hospital appointment and Admission date.

Currently maternity and radiology are exempt but all other forms of appointments can be booked via telephoning:

  • 01279 827391 for ‘new’ Outpatient Appointments
  • 01279 827539 for Theatre or Day Stay bookings.

Patients who use the E-Referral System (previously known as Choose and Book) are given a booking reference number (UBRN) & will not need to access this new service because they will continue to run the NHS Appointment’s line (03456088888), nor will those who have had their appointment booked via the GP surgery or online.

If you need further advice regarding your referral / letter - please call 01279 827608 & our Reception team can transfer your call to our Secretaries between 9.30 & 2.30 Monday to Friday.

Empowering patients to self-manage appointments using the NHS e-Referral Service

Encouraging patients to book their own hospital or clinic appointments online, rather than by phone, saves practice time and can cut did not attend (DNA) rates by half. Steering people to self-manage their appointments via our manage your referral online service can make a valuable difference, make sure you read and download all the information on our website.

Help and support for patients waiting for a hospital appointment or operation:


The My Planned Care website supports people waiting for a hospital appointment, operation or treatment, and gives them advice and support while they wait. This includes access to average waiting times at their hospital and other useful advice and local services.

Patients can check the website of their allocated hospital for any information they may need before contacting their hospital or GP practice. Carers, friends, relatives and NHS teams can also see this information and, if needed, help guide people through the detail.

The site is easy-to-use and updated weekly with other advice and information on how to manage pain, keeping healthy, looking after their mental health, accessing financial help and other local support services. The site can also help people to prepare for their appointment or operation, including practical suggestions about how to manage symptoms and help prevent these from getting worse.

Self Referral

Spectrum - Hertfordshire Drug & Alcohol Services 

Ante-Natal Care

The early bird service can be accessed from as early as five weeks pregnant. You can download a referral form to complete and return to us on alternatively you can contact your GP surgery to tell them you are pregnant and arrange your first midwife appointment. You will be sent a letter offering you an appointment within 10 working days, please read the information contained within the screening leaflet before you come to your appointment. 

HPFT - Mental Health Services
For mild to moderate mental health issues - Our Wellbeing Service offers short term support to people with mild to moderate mental health issues such as depression and anxiety. Referrals are made via your GP or you can self refer by clicking on the following link:

Self referral
For urgent help or if you need to speak to someone
Call our Single Point of Access (SPA) Tel: 0300 777 0707 from 8am - 7pm Email:
Alternatively, call our Out of Hours Helpline Tel: 01438 843322

Wellbeing Service Self Referral

Hertfordshire & West Essex NHS Diabetes Prevention Programme

Contact ICS Health & Wellbeing
Telephone 0800 043 9806

Essex Partnership University Trust (EPUT) Adult MSK Physiotherapy Services Update

Please be advised that the EPUT MSK physiotherapy service at Herts and Essex Community Hospital is fully operational and able to offer patient assessments either face to face or virtually. They also have a number of group rehabilitation sessions which patients may attend.

Patients who require physiotherapy are able to self-referral to the service by accessing the link below: 

This link will also take patients directly onto the MSK physiotherapy webpage where further advice and guidance may be accessed including patient information leaflets.

Refuge - Independent Domestic Violence Advocacy Service

Monday to Friday from 9am to 5pm
The Refuge–Hertfordshire IDVA service provides confidential, non-judgemental and independent support for women and men (aged 16+) living in the Hertfordshire area who are experiencing:

  • Domestic violence and abuse
  • Coercive control, intimidation, threats, physical abuse, emotional abuse
  • Sexual abuse within an intimate relationship
  • Forced marriage
  • So-called 'honour'-based violence
  • Female genital mutilation

We have 13 independent domestic violence advocates (IDVAs) who operate across the county and can provide tailored, one-to-one support and also signpost to local external agencies.

Who to contact Telephone 0300 790 6772

Where to go - our address is confidential, we provide a service to people throughout Hertfordshire

Referral required: No

The iPractice - Vision and Specific Learning Difficulties (e.g. Dyslexia)


Maternity Bereavement Counselling

Termination of pregnancy - self referral


Local Services, Let
The Osteopahic Centre