Shaping better health
REMEDY : BNSSG referral pathways

Respiratory RAS Service - NBT

Checked: 10-09-2018 by Rob.Adams Next Review: 10-09-2019


The Respiratory Department at NBT has implemented a Referral Assessment Service (RAS) for respiratory referrals. Referrals made by eReferral to NBT will now be triaged and directed to the most appropriate service or returned to GPs with advice.

Prior to referral all patients much have a recent CXR (within last 3 months).

If CXR shows unilateral pleural effusion then refer to the Pleural Clinic RAS.

For all other referrals recent spirometry should be provided.

For suspected Interstitial Lung Disease then a CT chest should be performed to confirm ILD prior to referral to the Bristol ILD  RAS

For patients with confirmed diagnosis of emphysema requiring consideration for lung volume reduction then refer to Complex Airways RAS

All other patients should be referred via  the Respiratory Medicine RAS for triage.



Referrals should be submitted via eReferrral requesting the appropriate RAS service as above.

Once the referrals have been assessed, the centralised booking team will contact the patient and agree an appointment over the phone. If they are unable to contact them after 3 attempts (over several days), an appointment will be allocated for them. The patient will retain the ability to reschedule their appointment, which they can do by contacting the outpatients department on 0300 555 0103.