NCL Hernia Service

NCL Wide

The NCL Hernia Service provides a centralised access point for hernia surgery referrals, ensuring patients are directed to the most clinically appropriate trust for their surgery.

The service treats different types of hernias and asks refers to use the EMIS referral form to assist with effective referral direction and management.

Please note: Within six months of a hernia repair, any post-op complication does not require a new referral. Please send your request for review, with relevant clinical details, directly to the hospital department who carried out the original hernia repair.


Eligibility Criteria

Inclusions

  • all patients being referred for hernia surgery, aged 18 and above (NB referrals for 17 year olds may be accepted, but will be assessed for suitability on a case-by-case basis)
  • patients must have agreed to surgery as a possible treatment option.

Exclusions

  • patients who do not wish to have surgery or for whom it is not deemed appropriate
  • patients under 17 years old
  • patients with post-operative complications (i.e. within six months of the procedure) - please refer back to the operating surgeon
  • patients with any history of cancer - refer to General Surgery services
  • patients with hiatus hernias - refer to Upper GI surgical services at UCLH, WH or NMUH

How to Refer

EMIS form

Referral methods: e-RS

Complete the Hernia (Routine & Urgent) Referral – NCL form and send via e-RS. Any urgent (but not emergency) referrals should be marked as Urgent on eRS.

Please note: The NCL pathway for groin hernia or suspected groin hernia in women requires an urgent referral.

Where to find the form

  • NCL: NCL Global Documents > Surgery 

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Review date: Wednesday, 11 November 2026