Back to NHS Decoder20 guides

Plain English guides to every NHS letter.

Written for patients, not clinicians. Every guide is sourced from NHS.uk and GOV.UK.

HospitalWhat is a discharge summary?
What the hospital sends after your stay — and what every section means.
GPGP referral letter explained
What the urgency categories mean and what your rights are once referred.
WaitingNHS waiting list letter explained
What RTT pathway means, your clock start date, and what to do if your wait is too long.
RightsRTT rights — what you're entitled to
The 18-week standard, your right to choose a provider, and what to do if it's breached.
WaitingHow long should I wait for a referral?
Why waits vary and what to do if yours is too long.
GPWhat happens after a GP referral?
Step by step — from referral letter to first specialist consultation.
ActionHow to chase your NHS referral
Who to call, what to say, and how to escalate if you've heard nothing.
HospitalNHS appointment letter explained
What every section means, what to bring, and what to do if the date doesn't work.
CareNHS care plan letter explained
What a care plan covers and your rights to be involved in it.
PrescriptionsPrescription charge exemption explained
Who qualifies for free prescriptions and how to claim a refund if overcharged.
HospitalOutpatient clinic letter explained
What the specialist wrote after your appointment — and what to do if something is wrong.
RightsHow to complain to the NHS
Who to contact, what to expect, and how to escalate to the Ombudsman.
BenefitsPIP medical assessment letter explained
What the assessment involves, how to prepare, and what to do if refused.
Mental HealthSection 136 — what it means
What Section 136 detention involves, your rights, and what happens next.
MobilityBlue Badge renewal letter explained
What the reassessment involves and what to do if your application is refused.
WaitingWhat is my RTT clock start date?
When your 18-week clock started, when it can be paused, and how to challenge it.
GPNHS e-Referral Service explained
How Choose and Book works, how to book, and what to do if there are no slots.
HospitalHospital infection letter explained
What a hospital infection notification means and what action to take.
CareNHS Continuing Healthcare letter explained
Who qualifies for fully funded NHS care and how to challenge a refusal.
UrgentUrgent cancer referral letter explained
What a two-week wait referral means — and what to do if your appointment is delayed.

NHS.uk sourced · No medical advice given · Free to start

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