Every extracontractual referral is a jewel

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7008.809d (Published 23 September 1995) Cite this as: BMJ 1995;311:809
  1. Edwin Pugh,
  2. Deborah Williams
  1. Director of public health Purchasing support manager County Durham Health Commission, Durham DH1 5XZ

    EDITOR,--Barbara Ghodse points out that extracontractual referrals are a cause of anxiety in purchasing authorities, mainly because they have the potential to generate unpredictable expenditure on top of major service contracts.1 We suggest that instead of regarding extracontractual referrals as a labour intensive drain on finance, purchasers should recognise that they are a potentially rich and convenient source of clinical information. They can be used as a simple method …

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