Breast cancer experience has wider implications

doi:10.1136/bmj.39311.512396.3A

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S Michael Crawford, consultant medical oncologist

Airedale General Hospital, Keighley, West Yorkshire BD20 6TD

michael.crawford{at}anhst.nhs.uk

The implications of the fast track referral policy for suspected breast cancer raise issues for the NHS that go beyond this disease.1 2 The existence of two queues for investigation defies the sensible observation that to manage multiple queues for a particular service is inefficient.3

Potter et al list the criteria by which general practitioners (GPs) are expected to identify patients for urgent attention.1 Their paper shows that the sensitivity and …