time to put it in the water ...
except transport accidents - because of the extra padding?
"guidelines not tramlines" to quote NICE.
Remember these are guidelines, and if we can justify not following them, then fine.
The health of other patients and the GP can form part of this justification.
The NHS does have specialist generalists - we are called General Practitioners.
We do refer on to someone who will take an interest and investigate when we need to or have suspicions of something rare.
I think you've missed the point - go back and read the article again!