Quality of care has improved

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.6996.59c (Published 01 July 1995) Cite this as: BMJ 1995;311:59
  1. B D W Harrison,
  2. D N L Ralphs
  1. Consultant physician Consultant surgeon Norfolk and Norwich Health Care NHS Trust, Norwich, Norfolk NR1 3SR

    EDITOR,--We wish to suggest an alternative interpretation of the data presented by David Armstrong and Mick Nicoll.1 During the 20 years 1971-91 the rate of increase in the numbers of general practitioners and consultants was similar (their figure 1). During the same period the rate of new referrals to outpatient clinics rose more slowly. Hence new referrals of outpatients per general practitioner …

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