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Travel medicine guide: November 2016 update

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Readers' comments (8)

  • OMG! The curse of the 'inappropriate referral' is back just after Sir Mike Richards said it's safe and wise to refer all patients with symptoms of cancer.

    So now only patients who fit the cancer 'stereotypes' will get referred, not all the patients who persistently display cancer symptoms.

    We'll deal with these losers in-house and hope for the best. If their relatives do sue we'll have retired by then.

    Hang on a minute! What is an 'appropriate referral'?

    What does the DH consider

    a) the appropriate % of all cancers not diagnosed under the 2ww?
    b) the appropriate % for a single GP's hit-rate under the 2ww?

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  • It shouldn't be about the referral. Surely to rule out or confirm diagnosis is a must. If however the patient is seen in secondary care and can then be managed in primary care the referral isn't wasted. It has confirmed diagnosis and the management plan for the patient.

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  • Peer review has to be the the way forward. We can all learn but after a while all partners can tend towards the mean.The current QoF Q&P requirements whereby practices compare referrals are also useful in refining decisions to refer.

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  • If I can remember the commonest cause of litigation as cited by MDU is - Delay in Refferal !

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  • As a 35y old GP with a young family to support, it would be irresponsible of me to start taking risks with my referral practice. I've already had complaints about late diagnosis when the referral guidelines were followed to the letter. Remember patients can be nice as pie until you get it wrong. Risk going to see the GMC? No thanks!

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  • I know several older GPs, one of which sends even women with heavy periods to A&E, and another who has frequently asked the simplest questions that I would expect a GP to know. I also worked for older GPs who refer even diet controlled diabetics to hospital. When I started work where I am presently, 'they' did not seem to know about high blood sugar reference ranges or lipid profiles....I hope revalidation lives up to it!

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  • Older GPs in my PCT are getting stuck in the jam at the exit door!

    The Pensions Officer tells me he has never known so many GPs taking VER in their mid 50's.

    Anyone any ideas why?. It's a mystery to me!

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  • Always useful

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