Wait or PayFaster paths to NHS treatment

Support & resources

Useful information for NHS patients navigating waiting lists.

Contact your hospital's patient support team (PALS)

Every NHS trust has a free Patient Advice and Liaison Service. They can tell you your waiting list position, give you an estimated treatment date, escalate if your wait is unreasonably long, and explain your rights if you have waited over 18 weeks.

Find PALS contact details → (opens in new tab)

Your 18-week rights

Under the NHS Constitution, you have the right to start consultant-led treatment within 18 weeks of referral. If your wait exceeds this, you can ask your GP or PALS team to arrange treatment at an alternative provider.

Learn about NHS Choice → (opens in new tab)

NHS Choice: switching to a faster trust

Under NHS Choice, your GP can refer you to any NHS trust in England, not just your local one. If another trust has a shorter wait, you can ask to be referred there. You arrange your own transport; surgery remains free.

Going private and returning to NHS care

You are entitled to use private services for consultation or diagnostics and then return to NHS care for treatment, and your NHS waiting list position is not affected by having a private consultation. Under Department of Health guidance (opens in new tab), your private consultant can arrange your transfer back to the NHS directly, by writing to your NHS trust: you do not need to go back through your GP.

If you have already been referred, your NHS clock is running and a private consultation alongside it does not change your place. If you have not been referred yet, there is no place to keep: your clock starts when a hospital receives your referral, whoever sends it.

How long will you really wait, and how could you go sooner?

Your free dashboard compares all four paths for your treatment: wait, switch to a faster NHS hospital, part-private, or fully private. It names the faster hospitals near you, shows what going private would cost, and gives you letters ready to send. You can print it or save it as a PDF. Free, and nothing is locked or paid.

See your free wait-or-pay dashboard→