Getting referred to the Neurology department

The Neurology department provides a specialist (tertiary) service for the diagnosis (not always possible) and treatment of children 0-16 years of age with neurological disorders, who are already under the care of a paediatrician or other paediatric specialist.

Your child’s hospital or community paediatrician should make the referral. We are unable to accept referrals from GPs.

If you feel a referral is appropriate and has not been suggested, you should contact your child’s paediatrician. We do not accept referrals directly from your child’s GP and require your child’s local paediatrician to make a referral to us.

How to refer to the Neurology department

Outpatient appointment

As a tertiary care hospital, all children who attend GOSH must be referred via local hospital consultants, community paediatricians or paediatric neurologists. We do not accept referrals from GPs.

To make a referral to the Neurology department, please write to:

Department of Paediatric Neurology
Level 10, Main Nurses Building
Great Ormond Street Hospital
Great Ormond Street
London
WC1N 3JH

Alternatively please email gos-tr.neuro-referrals@nhs.net . (This email is to be used by your doctor and their team to make a referral)

These will be discussed in conjunction with local paediatric services and GOSH. In certain cases, urgent cases are seen on the Starfish Rapid Assessment Neurology Unit (RANU).

This is not suitable for every case. Children are seen as a day case on RANU, and this service is specifically for children undergoing programmed investigations.

For urgent referrals please call the switchboard on 0207 405 9200 and request the neurology on-call team. Referrals must be discussed at a consultant to consultant level only.

Guidelines for making a referral

To process a referral to the Paediatric Neurology Department at GOSH, we require the following minimum information:

Patient details:

  • name and details of patient including NHS number (if applicable), current GP and lead consultant

  • 18-week pathway information including date referral decision made

  • whether an interpreter for the child / or family is required

  • please include, if relevant, details about social services involvement and parental responsibility

Clinical questions:

  • reason for referral such as diagnostic, prognostic, second opinion or other

  • details of previous neurology opinions

  • referral letter with current information and referral question

Investigations:

Referrals cannot be processed fully unless imaging (hard copies/CD) and other relevant investigations have been received. Therefore, please include:

  • MRI/CT

  • EEG/EMG

  • blood tests and other assessments

How to get advice for patients known to GOSH

If you know the consultant the patient is under then please call their PA or named Clinical Nurse Specialist via the hospital switchboard on 020 7405 9200.

Urgent queries are dealt with by the on call team, not by a patient’s named consultant.

For urgent referrals please call the switchboard on 020 7405 9200 and request the neurology on-call team. Referrals must be discussed at consultant to consultant level only.

How to get advice for patients not known to GOSH

For urgent referrals please call the switchboard on 020 7405 9200 and request the neurology on-call team. Referrals must be discussed at consultant to consultant level only. Urgent referrals are considered those where patients are requiring acute inpatient transfer.

If requesting advice regarding patient management this can only be discussed at consultant to consultant level via the neurology on-call team via the switchboard on 020 7405 9200.

Please note we will only review brain/spine scans in patients being considered for transfer to GOSH. For a radiology opinion, scans should be sent to the Radiology department via IEP accompanied by a formal referral letter. 

For non urgent referrals please fax a referral letter with the relevant clinical details and clinical question, as per our referral guidelines above. 

Download our Neurology clinical queries policy .

Feedback and suggestions

All general feedback and suggestions can be directed to:

Peter Sweeney
Assistant Service Manager for Neurology, Epilepsy, Neurophysiology
Telephone number: 020 7405 9200 ext. 5517