Referral management centres: More Hackney carriage than Trojan horse

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7547.975-a (Published 20 April 2006) Cite this as: BMJ 2006;332:975
  1. David Keene, clinical director (david.keene@nhs.net)
  1. 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 recognised25 but poorly understood. Contributing …

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