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Practical guide · UK

What to do if a mental-health referral is rejected

A declined referral usually means that one service believes another route is more suitable, or that it needs more information. It does not mean that your distress is unimportant or that you must manage alone.

Ask for a clear explanation

  • Ask why the referral was declined and request the reason in writing.
  • Ask what service they believe is more appropriate and exactly how you access it.
  • Check whether information was missing, outdated or misunderstood.
  • Ask whether the referral can be reconsidered if your situation has changed.

Go back with a specific request

  • Take the response to your GP and ask for a new plan, not simply another identical referral.
  • Explain the effect on daily life and safety, not only the name of a possible condition.
  • Ask whether you can self-refer to NHS Talking Therapies if you live in England and the service fits your needs.

If the process was handled badly

  • Ask the service for its complaints or Patient Advice and Liaison Service route.
  • Keep copies of referrals, letters and dates of calls.
  • In England, local Healthwatch can explain how to raise a concern. Other UK nations have their own advocacy and complaints routes.
Keep it manageable

You do not have to complete every step today. Choose the smallest useful action, such as writing one sentence, saving one number or asking one person to sit with you while you call.

Trusted sources and next steps

NHS: how to access mental-health services ↗Mind: when your GP does not help ↗

General UK information, not a diagnosis or personal treatment plan. Services differ across England, Scotland, Wales and Northern Ireland. Information reviewed 23 August 2026.