Referral letters are inadequate

doi:10.1136/bmj.312.7044.1481

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Peter Ward,
John Carvell

Orthopaedic registrar Consultant orthopaedic surgeon Salibury District General, Salisbury, Wiltshire SP2 8BJ

EDITOR,—Paul Little and colleagues' finding that when patients present with acute back pain most general practitioners do not routinely examine them for muscle weakness and sensation1 agrees with a recent audit that we have performed to assess the contents of referral letters sent …