Letters Referrals to secondary care

NICE “referral advice” recommendations database

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d129 (Published 11 January 2011) Cite this as: BMJ 2011;342:d129
  1. Mary J Docherty, clinical adviser to Peter Littlejohns1,
  2. Moni Choudhury, analyst1,
  3. Peter Littlejohns, clinical and public health director1
  1. 1National Institute for Health and Clinical Excellence, London WC1V 6NA, UK
  1. mary.docherty{at}nice.org.uk

McBride and colleagues conclude that the absence of explicit guidance is one reason for the inequality in primary to secondary care referrals associated with socioeconomic circumstances.1

Referral to a specialty service is a crucial point in a patient’s management. The decision is complex, reflecting the needs and expectations of individual patients and their families, the knowledge and …

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