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Gastroenterology Pre-referral Guidance

The guidance below has been agreed by the South West London Gastroenterology clinical network, consisting of gastroenterology consultants and GPs, to aid in managing patients with gastro-intestinal symptoms across primary and secondary care. Please note that St George’s Hospital does not currently offers direct access flexible sigmoidoscopy for rectal bleeding.

Gastroenterology Pre-referral Pathway March 2025

Nominate your NHS hero for a gesh CARE award

Who deserves recognition? Nominate them today.

Have you or a loved one received outstanding care from St George’s, Epsom and St Helier Hospitals, Sutton Health and Care, or Surrey Downs Health and Care? 

For many colleagues, being nominated for our staff awards is just as meaningful as winning. Your words help us recognise and celebrate the people who make outstanding care possible every day. 

Submit your nomination before 19 July and help us celebrate the people behind outstanding care.