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GP practices offered funding to cut cancer referrals in new scheme


Come on Pulse and everyone commenting on all these similar themed articles. We all know that there is variation in the quality and variation of referrals by colleagues. Most of these CCG schemes are an attempt to understand that variation and ask practices to reflect on their thresholds and effective use of commissioned pathways. Our patients do not want to be referred into specialist pathways of care when that is unlikely to change the outcome of the problem they present with. They also expect us to make effective use of what we all know are limited NHS resources, which is after all what British general practice has been renowned for in the past. I would agree with the RCGP's (and BMA's to be fair) distinction between supporting high quality referrals and not managing them however, but this distinction can be rather nuanced. I accept that increasing risk averseness, the interpretation of guidelines and general uncertainty are making this gate keeping role more difficult. Do we want to abandon that role? I sense some GP colleagues do but it has been, like it or not, what most defines our role in our health economy.

Posted date

28 Feb 2018

Posted time