Intended for healthcare professionals

Letters Peer review of GP referrals

Outsourcing review of GP referrals to private companies: who ultimately gains?

BMJ 2017; 359 doi: (Published 11 October 2017) Cite this as: BMJ 2017;359:j4607
  1. Nick Mann, GP
  1. London E9 7TA, UK
  1. drnickmann{at}

We GPs in Hackney had compulsory clinical peer review of our referrals (with payment by results linked to “quality”) imposed on us a few years ago.1 Our referral rates are rising, perhaps more slowly than they otherwise might have done, and cost and quality have not noticeably improved. By preventing some unnecessary referrals and saving money, we might also …

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