There’s no such thing as an unnecessary referralBMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4606 (Published 10 October 2017) Cite this as: BMJ 2017;359:j4606
- Andrew N Bamji, retired consultant rheumatologist
- Rye TN31 7ES, UK
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 …