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.
Society becomes more wholesome, more serene, and spiritually healthier, if it knows that its citizens have at the back of their consciousness the knowledge that not only themselves, but all their fellows, have access, when ill, to the best that medical skill can provide.— Aneurin Bevan 1942