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Gold, incentives and meh

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Headline

Patients to be allowed to self-refer for cancer diagnostics without going through GP

Comment

No, in my personal capacity as a GP, I do not support this initiative. It is at best well-meaning but muddle-headed. One of the basic tenets of making a diagnosis is to start with the history and no computer algorithm, or NHS111, or Dr Google, is as good as a GP listening to the patient, asking the right questions and formulating a management plan. As a previous respondent said, investigations themselves carry a risk - which is why X-rays must legally be signed off by a practicing doctor. The positive return on investigations requested by GPs is already much higher than those requested by hospital junior doctors - we all worked there once but have added years of experience and training since. This is populist nonsense in an election year. I am not being protectionist over our craft - but I am being protectionist over our patients' welfare and our NHS resources.

Posted date

12 Jan 2015

Posted time

11:00am

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