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Referral rate to outpatient services in London in some practices is triple that in others, report says

BMJ 2012; 345 doi: (Published 05 December 2012) Cite this as: BMJ 2012;345:e8249
  1. Matthew Limb
  1. 1London

General practitioners and commissioners in London must show courage to transform the capital’s primary care, overcome complex challenges, and lift care standards, say health policy researchers.

An analysis by the King’s Fund and Imperial College London says that strong leadership and long term vision are needed to tackle unwarranted variations in the quality of general practice.

Anna Dixon, the fund’s director of policy and one of the authors of the study, said that despite examples of excellent services many GPs were operating in relative isolation and that some premises were no longer fit for purpose.

“The quality of care that Londoners receive is not as consistently good as it should be,” she said.

She said that radical changes were needed, including encouragement of smaller practices to work in networks to provide a greater range of services; more investment …

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