Referral Support Service

The Referral Support Service (RSS) is a local service working on behalf of NHS Humber and North Yorkshire ICB.

The aim of the RSS is to get patients the right care, at the right time, in the right place, first time.


Useful contact numbers

Accenda / Gateway

Accenda / Gateway Helpdesk: support@accenda.co.uk / 0161 274 9730

Training support

Accenda host lunchtime drop-in training sessions for Gateway via Microsoft Teams every weekday at lunchtime. These take place daily at 12:15 – 12:45. Simply attend using this link.

Accenda also offer the option of a dedicated training session at a time that suits you; this can be booked online using this link.

Video guides:

Pathway changes FAQs

RSS/Primary Care pathway changes FAQ - updated 31/07/2025

Q01: When I book an appointment and complete a referral on Gateway, do I still need to send a booking confirmation letter?

No, if you have spoken directly to the patient, you should have either:

  1. Informed them of the date and time of the appointment. A confirmation letter will be sent closer to the appointment date by the secondary care provider
  2. Notified them that the details have been forwarded to the hospital, which will contact them to arrange a date and time, followed by a confirmation letter

Q02: When I send a text message via Gateway Patient Communications, it doesn't display the text. Why?

As discussed in the webinar and previous communications, text messages should continue to be sent through AccuRx. This platform allows customisation of texts for each patient and includes your Practice contact details. Please note that sending texts through Gateway incurs a charge from Accenda – you may wish to explore this with Accenda directly on an individual Practice basis.

Q03: How do I send an e-RS Choice letter to a patient?

Follow the guidance outlined in the RSS & e-RS Booking Guide, on page 39-41

Q05: If a patient chooses a hospital that isn’t listed in the pre-shortlist option, what should I do?


Uncheck the ‘Filter services by pathway’ box to remove the filter. This will display all available hospital options. If you are finding that this is required for a higher percentage of patients, then please contact the RSS and the initial pre-shortlist can be adapted or removed.

Q06: What if a referral is no longer needed at the booking stage? How do I cancel it?

Click ‘Return to Practice’ at the bottom right of the screen. A text box will appear where you can provide details on why the referral is not required. Click ‘Return’ to move it back to your task list for cancellation and removal.

Q07: What does ‘Not applicable’ mean under wait times for a RAS appointment?

'Not applicable' is displayed because Referral Assessment Service (RAS) appointments are triaged by the hospital. The patient will be contacted with a date and time after the referral is vetted. Patients are then seen based on medical urgency as opposed to chronologically. Please refer to the wait time spreadsheet for more details.

Q08: If the system says no appointments are available, what happens? Will the referral go to the hospital?

Yes, if no appointments are available, the referral will be deferred to the patient's chosen provider.

Q10: Can wait times be displayed within Gateway?

Wait times are visible for directly bookable services/clinics. RAS clinic wait times are not displayed in Gateway and have been provided by RSS – see wait time spreadsheet.

Q11: Will RSS staff visit practices to provide hands-on training?

Yes, RSS team members are available for Practice visits if required – please contact the RSS mailbox if you would like to request a Practice visit. Specific Gateway training from Accenda is also available. Please see the booking guide for the relevant contact details or training booking pages.

Q12: Will there be confirmation in the system when a self-booking letter is sent to a patient?

Yes, the generated e-RS Choice letter is saved in the patient's record through Gateway, similar to how the Validated Referral Form is saved currently. The Gateway system syncs with e-RS to update the patient’s referral record in Gateway if a booking is made by the patient.

Q13: When trying to book to the AHP Selby frailty clinic there is no book direct option anymore?

Gateway have removed the book direct option, the option will be available once you get to the booking stage of the referral.


 

Q14: Will the booking guide be updated?

If any further changes take place the booking guide will be updated on the RSS page. The online version is the only maintained version. The most up to date booking guide.

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Contact us:

Email: hnyicb-voy.rsservice@nhs.net 
Phone: 0300 303 8676

Referral Support Service
NHS Humber and North Yorkshire ICB
West Offices,
Station Rise,
YORK
YO1 6GA

NHS Vale of York CCG Referral Support Service would like to acknowledge NHS Kernow CCG, from whom inspiration for this RSS web tool came from.