Intended for healthcare professionals

Letters Respectful disagreement

Secondary care opinion: advice or didactic guidance?

BMJ 2021; 372 doi: (Published 09 February 2021) Cite this as: BMJ 2021;372:n386
  1. Ian L P Beales, consultant gastroenterologist
  1. University of East Anglia, Norwich NR4 7TJ, UK
  1. i.beales{at}

Salisbury makes a good point about the differing views of what an opinion from a secondary care expert entails.1 Often it means different things to the patient, consultant, and referring GP.

As a hospital consultant, I am aware that while I am an expert on a portfolio of medical conditions I am definitely not an expert on the …

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