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North Mid in The Community

North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.

URefer was enabled in Enfield, North London through partnership working between Enfield GP Federation, North Mids in The Community MSK teams and AHP Suffolk CIC. It has offered excellent referral routes into MSK Physiotherapy, Pelvic Health Physiotherapy and Podiatry services both online and by telephone. The MSK team have been able to save 60 hours of clinical time a month since URefer was introduced and Podiatry have accepted self-referrals for the first time. Feedback from all teams has been very positive, particularly from primary care. 

Started in April 2020

High staff satisfaction

60 hours/ month of clinical time relieved

£16,624.80 annual saving

Introduction of translation service to meet local need

During Q3 2023/24:


• 3016 MSK Physiotherapy self-referrals

• 86 Pelvic Health Physiotherapy self-referrals

• 150 Podiatry self-referrals

• 73.8% completed online

• 86.5% of patients reported the site was easy to use 

• 10.6% of referrals didn't see their GP before 
   - saving 345 GP appointments

‘The telephone referrals option provides a welcome improvement in patient accessibility to the system, and we are also very pleased that we now have referrals linked to NHS Patient Demographic Service.’

-Rachel Richardson, Podiatry Clinical Lead & Service Manager, Suffolk GP Federation

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