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Consultants refuse to accept GP referrals for smokers


I think we need to take a step back and consider what our role is. Our role is to know which interventions are available to our patients, give them the choices, tell them the pros and cons for each treatment and guide them in their choice. But it is their choice. If I want someone to have a TKR and they choose analgesia instead - it is not my place to refuse naproxen because it is different to my opinion. Similarly if I think a patient should stop smoking and have inhalers for COPD, but they insist on continuing to smoke - it is their choice - it does not exclude them from having an inhaler. The same should apply to vascular surgery. It is important to make sure patients are aware of the differences in risk/ benefit balance between smokers and non-smoker and provide them with the assistance to stop smoking. But it is only acceptable to ban them from treatment if that balance becomes inappropriate.

Posted date

11 Aug 2014

Posted time