In the end we had a chat and I sent him a text with what he needed to ask about the referral letter and he went himself (and as I am on annual leave this week I got a lie in 🤣)
He was in for literally 2 mins, they said yes it is time to refer now (he isn't sure if it was a Dr or another HCP he saw) and they have sent an electronic NHS referral and said it will possibly take several weeks/months.
He asked for a referral letter for my company's private medical cover, and I am not sure what he asked or what they said to him but he wasn't clear how/when he would get that so he had to phone up to clarify and after a couple of phone calls back and forth as they did not seem clear on what he needed they eventually spoke to me on the phone and have now sent an email over to him with a copy of the referral and a private referral request has been logged so hopefully he will be seen sooner. 👍
For those saying "how did he get to 19 an not able to navigate appointments" - he is very competent - he does his own dentist appointments which are more regular because he suffers from sometimes very painful TMJ, he does eye appointments, car MOTs, student finance, banking, works PT as bar staff, arranged his own holidays abroad with the lads last year etc etc - all the stuff you would expect a young adult to do.
I'm glad it worked out ok and he managed on his own, but after reading and reflecting on every post I don't believe there is a right or wrong if anyone's young adult child wants and needs a bit of support at the Drs - especially in our case where he did not had any prior opportunities of learning by going to a Drs previously and there might be resistance to a referral request.
What I do, very strongly, believe is when it comes to medical issues no parent should be made to feel as if they have been inadequate raising their young adult or think their young adult is somehow inferior if they would not feel "horrified", "humiliated", or "mortified" and they ask for or accept support when they need it at a time they might be struggling with a medical situation.
Thank you for every post, they all gave me something to think about.