When a GP refers a patient to a specialist, the referral letter carries what was known at the time it was written. By the time the appointment happens — weeks later — the patient's medicines, conditions, or circumstances may have changed. The specialist may be reading a record that no longer matches the person in front of them.

ReferralGround creates a structured Referral State — confirmed by the referring GP before it becomes trusted, with specific questions for the specialist and a loop that stays open until those questions are formally answered and the GP has acted on the response.