Outpatients’ services across England are under immense stress, ever-increasing waiting lists and significant breaches of the 52-week threshold.  To restore flow and improve patient care, The Countess of Chester NHS Foundation Trust is working alongside Medefer to reduce its current backlog in gastroenterology. 

Medefer is a virtual healthcare outpatient service designed to support NHS partners in significantly reducing patient waiting times which creates a more sustainable outpatient service.  GP referrals are responded to within 48 hours, patients are reviewed and managed virtually by a team of NHS consultants, resulting in better outcomes and more effective delivery of care at a local and system level.

Self-referral For Local Services

Most referrals to other specialists will require you seeing or speaking with a GP, however there are a number of services that you are able to make self-referrals to.


NHS e-Referral Tracking

If your doctor has referred you to a specialist for further care you will be asked to book your appointment using the ‘NHS e-Referral’ system.

You will receive a letter from us within 2 weeks giving details of how to book your appointment and any passwords you may need.

To track your e-Referral you will need the following details to log into the e-Referral website:

  • Your date of birth
  • Reference number – this will be on the first page of your letter
  • Password – this will be on the second page of your letter

To track an e-Referral, click here.