Intended for healthcare professionals

Letters Hierarchical communication

Hierarchical communication: a good referral can come from any grade of doctor

BMJ 2020; 370 doi: (Published 16 September 2020) Cite this as: BMJ 2020;370:m3595
  1. Alex J Langridge, specialty trainee year 6 haematology
  1. Lead Employer Trust, North East and North Cumbria, Newcastle upon Tyne NE15 8NY, UK
  1. alexander.langridge{at}

Feature, 8-15 August

Although I have no formal conflicts of interest, I am the co-creator of Buku Haematology, the app mentioned in Thornton’s article,1 from which I receive no income.

Although I am clearly biased, the haematologists in our region are notoriously approachable and so it was disheartening to read about the poor experience the doctor had in their interaction with haematology.1 …

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