The Switch Pack
For when your GP says no.
Most patients wait 6 to 18 months not knowing they can legally switch to a hospital with a fraction of that wait. The letter that asks for it is free. This pack is everything that happens after you hand it over.
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What's inside
Plain-English Patient Rights Guide
A clear summary of your legal rights under the NHS Constitution (Right 6a), the right to patient choice, how e-RS works, and what to do if your GP refuses. Written by a practising NHS GP.
What to Say to Your GP: Conversation Script
Word-for-word phrases for requesting a re-referral, handling the most common GP objections ("I've already sent it", "You have to wait your turn"), and escalation steps if needed.
Step-by-Step Switching Guide
From finding a shorter-wait hospital on ShorterWait, booking the GP appointment, handing over the letter, through to what happens next (typically 2 to 4 weeks to new appointment letter).
90-Day Weekly Wait-Time Alerts
Once you set your specialty and region, you'll receive a weekly email every Monday morning showing the latest NHS wait times. Unsubscribe at any time.
NHS-Commissioned Independent Hospital Directory
A verified list of independent sector providers (Spire, Nuffield, Circle, Ramsay, Practice Plus, Horder and more) that hold NHS Standard Contracts and appear on e-RS. Covers specialties, site locations, and what each provider is confirmed to treat NHS patients for, so you can walk into the GP appointment already knowing your options.
Letter template preview
[Your Name]
[Your Address]
[Date]
Dear [GP Name / Practice Manager],
I am writing to formally request a re-referral under my rights as an NHS patient under the NHS Constitution (2023) and the Health Act 2009.
I am currently awaiting a [SPECIALTY] appointment at [CURRENT HOSPITAL]. I understand that under NHS patient choice (Constitution Right 6a), I have the right to choose any NHS provider or NHS-commissioned independent sector provider for my first outpatient appointment.
I have identified [NEW HOSPITAL] as a provider with a significantly shorter wait time for [SPECIALTY], and I would like to exercise my right to patient choice to be referred there instead via the NHS e-Referral Service (e-RS).
... [Full letter continues in the pack. Includes NHS England policy references, escalation instructions, and a pre-filled consent clause] ...
The full letter includes: NHS Constitution citation, e-RS policy references, escalation clause, consent language, and blanks for every field you need to fill in.
Common questions
Written by
a practising NHS GP
Based on
NHS Constitution law
Used by
patients across England
Not medical advice. The Switch Pack contains educational and administrative resources only. Always discuss your care with your treating clinician. Terms apply.