NHS England (NHSE) is promising Clinical Commissioning Groups significant extra funding if they establish a system to check all the patient referrals that GPs make (e.g to a hospital specialist). NHSE claims this could reduce referrals by 30%. It’s not clear yet if this checking process will be carried out by other GPs in the same practice or by a special panel of GPs set up to carry this out. In either case, in addition to delaying referrals and adding to the workload of already over-stretched GPs, those carrying out the vetting will be second guessing GPs’ decisions without actually seeing the patient.
It will last as long as there are folk left with the faith to fight for it.— Aneurin Bevan