Why is choosing the hospital in which I am first seen important?

There are many reasons why you might prefer one hospital to another.  Location, waiting times, clinical results and parking facilities are just some of the things that patients consider when choosing a hospital. Evidence shows that if you choose a hospital in which you feel comfortable and confident, you're likely to improve both the result of your treatment and your experience while you're in hospital.

It is also important to remember that the hospital which you choose to see a specialist will probably also be the one where you receive treatment, should you need it.  Therefore, when you choose where to see a specialist, always assume that treatment will be necessary, even if this seems unlikely or uncertain when your GP first refers you.

Where can I get information to help me choose a hospital?

Your GP practice can discuss your options with you, and the NHS Choices website can also help you to make your choice, allowing you to compare a wide range of different hospitals on the criteria that matter most to you.  In most cases, you will also be able to see how other patients rated them.

Compare hospitals online (Opens NHS Choices website)

With your Choose and Book unique booking reference number (UBRN) and password you can also do the following:

• call the Appointments Line on 0345 608 8888 or textphone 03358 50 22 50 (calls are charged at the local rate and translation services are available)
• you can compare information between the hospitals or clinics on your list and print off copies. If you do not have access to a computer or printer, your local GP practice may be able to access the same information and print copies for you.  Alternatively some libraries offer internet access and have staff who will be able to help you.

Is hospital choice offered in every case?

A choice of hospital is available for most patients and in most circumstances.  Exceptions include emergency and urgent services, cancer, maternity and some mental health services.  If you need to be seen urgently by a specialist (for example, if you have severe chest pain), your GP will send you where you will be seen most quickly.

What if I don’t want to choose?

You don't have to make the decision yourself.  If you prefer, your GP can choose for you.  The best decisions are likely to be made jointly between you and your GP.  Take time to discuss the full range of options with your GP.

Do I have to choose straight away?

If your GP wants to refer you to a specialist, you can take away information about hospitals and decide later.  In most circumstances, this is the most sensible option.

Why can’t my GP just tell me what the best choice is?

Your choice of hospital may depend on a variety of factors beyond where you will receive the treatment you need, for example:

• how quickly you can be seen
• how easy it is for you to get to by car or public transport
• information on quality of care
• the reputation of the hospital
• a recommendation from a friend or family member.
• Your GP may help by discussing the options with you, but you may want to make your choice based on a number of personal preferences.

What do I do if I disagree with my GP's recommendation?

When you and your GP agree that you need to see a specialist, you will be able to choose from a shortlist of hospitals or clinics which your GP has determined are clinically appropriate for you.  Your GP may recommend you to choose a particular service based on clinical appropriateness; however, you are free to choose from the remaining options as you wish so long as your GP agrees that the service provided is clinically appropriate for your needs.

What can I do if I am not offered a choice?

If you are not offered a choice of hospital, first talk to your GP.  If you are still not offered a choice, contact your local primary care trust’s Patient Advice and Liaison Service (PALS).

More about what to do if you are not offered a choice of hospital