How to seek a second opinion

The Department of Health and Social Care accepts that if a doctor thinks that it is in the best interest of the patient to refer for a second opinion, they should do so.

Although you do not have a legal right to a second opinion, a healthcare professional will consider your circumstances and whether a second opinion is needed.

If you need any advice or support, you can speak to our Patient Advice and Liaison Service (PALS).

Do you need a second opinion?

Before asking for a second opinion, it is worth asking your clinical team to go over your diagnosis and explain everything clearly. If you’re unhappy with your diagnosis or would like to consider a different course of treatment, discuss this with them.

Your clinical team will be happy to explain things and in many cases there may be no need for a second opinion.

Your family or carer can also ask for a second opinion on your behalf, but only with your consent.

If someone requests a second opinion on your behalf, they should have all the information about your illness or condition, and check they understand it thoroughly.

Sometimes a clinician may ask a colleague to provide a second opinion. For example, they may ask a colleague about a complicated case, or they may need to refer a patient to another healthcare professional with a sub-speciality interest.

Second opinion from a different healthcare professional

If you would like a second opinion after seeing a clinical team you should discuss this with them.

You’ll usually need to go back to your GP and ask them to refer you again. If your GP agrees to refer you to a new healthcare professional, they will be told that this is for a second opinion. They may request any relevant test results or x-rays previously carried out. If you want to be treated by the new professional, this will need to be arranged with them.

Things to consider

  • People who are referred for a second opinion are treated as a new patient referral and are assessed appropriately.
  • A second opinion with a different clinical team may be at a different NHS Trust which might, in some cases, involve additional travelling.
  • Whilst waiting for your second opinion, you may wish to discuss or inform your initial clinical team about this.
  • If you have a serious medical condition requiring urgent treatment, we advise that you discuss this with the team and ask whether any delay in starting treatment could affect your wellbeing. 

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