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Can't diagnose cancer? Not our fault

Excessive hospital referrals (News, October 18) may have something to do the quality of care given in casualty units. Patients who have not been adequately investigated and treated will need to be referred back.

DNAs due to difficult and cumbersome outpatient appointments result in re-referral as well. Also, a lot of outpatient appointments are cancelled by hospitals, forcing us to write yet another referral letter.

We already see many patients who should have attended casualty but because of excessive waiting time insist on coming to the surgery instead.

Dr BP Choudhary

Smethwick

West Midlands

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