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At the heart of general practice since 1960

Enhanced service dispute

Deficient guidelines are leading to inappropriate GP referrals ­ Rob Finch reports

Changes demanded at BTS meeting

·Referral guidelines should be enhanced to include more hidden risk factors

·Patients with dementia or swallowing

difficulties need to be identified by GP before referral

·Patients should have chest X-ray before referral

·Suspicious chest X-rays should trigger automatic chest clinic booking without patient needing to return to the GP

·Vetting chest X-rays before clinic appointments could improve referral accuracy

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