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