GP referrals – The Gateway

If GP referrals to Hospital are the measure of an effective gateway to the NHS we might expect them to go up. Except the drive to move services into the community should push them down.

The Welsh Government reports that GP referrals are going down: (2013)

On the other hand Health Service Journal 18th July 2012 reports:

Referrals in England are going up.

It will be interesting to see how private hospital referrals compare by UK region.

If regions without “choose and book” have more private referrals as well as less NHS referrals does this mean there is an increase in inequality in those regions?

I have asked BUPA to comment on referral rates per region, but they have yet to come back to me. Perhaps this is privileged information.. GP referrals for “advice” are now not allowed in Wales. This could also explain some of the difference..

This entry was posted in A Personal View, Commissioning, Community Health Councils, Patient representatives, Political Representatives and activists, Rationing, Trust Board Directors on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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