Neurology: for healthcare professionals

Commissioning policies

Additional referral information

Essential minimum tests to accompany a Neurology referral (for GPs and health professionals)

To improve the quality of Neurology referrals it is requested that the following essential minimum tests accompany a Neurology referral.

Please do not send in referrals with ‘CNS-NAD’ as detailed documentation of examination findings is essential to protect you against clinical negligency cases as the former offers no proof of what was tested - or not.

Comment on cognition: No formal tests required if good interview unless indicated

Comment on speech: Language, dysarthric or dysphonic – again not formally tested unless symptoms or obvious issues

Cranials including fundoscopy: Important – most cranials should be tested. Exclusions being:

  • If no olfactory issues, hearing tests unless there is hearing symptoms and gag reflex
  • X11 can be done quickly and efficiently

Sensation: Only if there are symptoms

Tone, Power, clonus: Of all four limbs

Reflexes, plantars: Of all four limbs

Cerbellum: Finger-nose, rapid alternating movements, heel along shin to toe, tandem gait

Patient information

Neurology deals with the diagnosis and treatment of all categories of conditions and disease involving the central and peripheral nervous systems, including their coverings, blood vessels, and all effector tissue.

See also