Letters Gatekeeping and delayed diagnosis

Delayed diagnosis: longer and improved GP training and more GPs are the answer

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g3226 (Published 19 May 2014) Cite this as: BMJ 2014;348:g3226
  1. Denis Pereira Gray, consultant and professor1,
  2. Philip Evans, senior partner1,
  3. Eleanor White, Exeter University Bachelor of Medical Sciences student on placement1,
  4. Alexander Harding, partner1,
  5. Peter Langley, health service researcher1
  1. 1St Leonard’s Practice, Exeter EX1 1SB, UK
  1. denis.pereiragray{at}btinternet.com

Hawkes describes how NHS gatekeeping delays diagnosis.1 A serious problem exists in all health systems in quickly diagnosing serious rare diseases. UK NHS cancer outcomes are worse than in some continental countries. GP delay in diagnosis is a serious problem, but so is post-referral delay, relatively fewer x ray machines, and fewer specialist treatments available—both drugs and radiotherapy.

England has 28% fewer …

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