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Headline

Patients to book own chest X-rays under new cancer self-referral pilot

Comment

I asked for a CT scan on a patient who was losing weight, unable to swallow and had been on fluids for 18 days. He had been cleared by 2ww upper GI; the only finding I had in hand was a palpable supraclavicular lymph node so I asked for a CXR. This was normal. I persisted with a request for CT Chest and abdo but recd a letter from Radiology declining and suggesting I contact a hosp Physician as do not accept CT referrals from GP. A few days later the hosp Consultant wrote to all GPs expressing concern regarding unwarranted urgent referrals - I wonder whether this was related. Suffice to say nothing was done. I re-refd the patient to 2ww upper GI for a reviiw - Pt now diagnosed with Oesophageal Tu with metas and still waiting for treatment after 4 months. The point is: 1. A hosp doctor can request CT/MRI if concerns but is a GP so studpid that he has no right to request one. The arrogant and fallacious approach of Trusts and Consultants needs to change. I find it hard to believe that we are still regarded as a second rate profession by Consultants - with due respect to the knowledgeable and pragmatic ones- who can't see anything further than their speciality of chest, bones or whatever. Is it economically sensible to refer to a rheumatologist for an anti-CCP antibody test just because you are not allowed to request one because 'you are just a GP'? I think, if that is the approach to general practice, NHSE might as well allow all patients to self-refer to 'Specialists'. Brings to mind an incident where a young lady with persisting lower abdo pain went through a hysterectomy due to 'endometriosis' but the pain did not settle. She then went on to have an MRI if was revealed that she had a spine bifida that needed attention. Another where the patient was treated for years by a 'Specialist' with fibromyalgia while the cause was Addison's disease and diagnosis made later in primary care by the 'stupid' GP.

Posted date

18 Jan 2015

Posted time

12:54pm

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