Letters Peer review of GP referrals

There’s no such thing as an unnecessary referral

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4606 (Published 10 October 2017) Cite this as: BMJ 2017;359:j4606
  1. Andrew N Bamji, retired consultant rheumatologist
  1. Rye TN31 7ES, UK
  1. bamji{at}btinternet.com

I know whether good GPs refer less, or bad GPs refer more,1 because I studied this subject nearly 25 years ago, analysing one year’s worth of new patients (over 600). A tiny number of GPs regularly made “bad” referrals (often because they hadn’t examined the patient), but “excellent” GPs sometimes made referrals that seemed unnecessary.

But how do you …

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