For GPs writing a referral · Republic of Ireland and the UK · NTPF published 2026-09-11
Letterkenny University Hospital
One referral. Two possible queues.
Two readers. When they disagree, Vouch asks.
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One invented referral
“…a three month history of recurrent episodes of rotational vertigo, each lasting several minutes, with headache…”
Read twice, independently
Reader A
Neurology
Same answer on every reading
Reader B
Ear, nose and throat
Same answer on every reading
They disagree, so Vouch asks.
It will not choose between them; the GP does.
Read two ways, it leads to two lists.
Route one
Ear, nose and throat
about one in 500
Route two
Neurology
about one in two
Share of each list already waiting over a year at Letterkenny. NTPF, published 2026-09-11.
Where it sits
The dangerous case is not when a reading is wrong. It is when two readings are both defensible.
Write the referral
Read twice, separately
Neither reader sees the other.
They agree
They differ. Vouch asks; the GP chooses.
The published evidence opens
Send it the way you already do
Through Healthlink, e-RS or your local gateway.
In Chrome
Select the draft, right-click, and read it with Vouch. About a minute.
The letter is invented, and the reading shown is the one recorded on 3 September 2026. The waiting-list figures are live NTPF data. The narration voice is AI-generated.
The evidence
This is not one hospital, and not one month.
In adult endocrinology, across 13 monthly releases, the gap between the hospital with the lowest share waiting over a year and the one with the highest never closed below 72.7 points.
- Republic of Ireland by hospital, NTPF, monthly
- Northern Ireland by HSC Trust, Department of Health, quarterly
- Scotland by NHS Board, Public Health Scotland, monthly
- Wales by health board, Welsh Government, monthly
- England by provider, NHS England, monthly
See every hospital, every specialty · How we checked · Check the numbers yourself ↗
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