Referral management centres: More Hackney carriage than Trojan horse

doi:10.1136/bmj.332.7547.975-a

From trainee to consultant, BMJ Group offers doctors around the world tailored information, special events, learning resources and recruitment services at every step along their career path.

... by doctors, for doctors, for patients
We are open for entries!

Online learning

BMJ Learning

High-quality CME / CPD for doctors and other healthcare professionals. BMJ Learning features hundreds of accredited, peer-reviewed learning modules in text, video, and audio formats. Find out more

Courses and Qualifications

BMJ Masterclasses

BMJ Masterclasses, led by experts, help clinicians to use the latest evidence and recent guidelines in practice and meet their CPD/CME requirements. Find out more

Exam Preparation

The leading provider of online exam preparation, helping over 167,000 healthcare professionals to pass their exams. Find out more

onExamination

Search all BMJ comment articles:

From

Limit by

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

David Keene, clinical director (david.keene@nhs.net)

Clinical Assessment Service, City and Hackney Primary Care Trust, London N1 5LZ

EDITOR—Davies and Elwyn note the growth of referral management centres to manage demand from primary to secondary care.1 In my area the variation in referral rates between practices varies as much as 10-fold between practices caring for the same socioeconomic and demographic group of patients. This variation is well recognised2^–5 but poorly understood. Contributing …