Health

Referral centres cause ‘dangerous’ NHS delays, BMA warns

The British Medical Association said referral management centres were "crude" and putting patients at risk

NHS patients face “dangerous” treatment delays due to a 10-fold increase in “crude, expensive” referral management centres, doctors have warned.

The centres, sometimes run by private firms, vet GP referrals and decide if patients should receive hospital care.

The British Medical Association (BMA) called them “inefficient” and a “block between the GP and patient treatment”.

NHS Clinical Commissioners said “in many cases” the centres “provide a useful and effective role”.

All but 12 of the 209 Clinical Commissioning Groups (CCGs) in England responded to a BBC Freedom of Information (FoI) request. Sixty-one of them said they used some form of referral management centre.

These centres were introduced in about 2003 and were designed to reduce NHS spending by limiting unnecessary referrals to hospital. However, one GP claimed cancer diagnoses were being delayed because of the extra bureaucracy.

Since 2005 there has been a 10-fold increase in the use of referral centres.

A BBC investigation revealed there had been a rise in referrals being rejected for administrative, rather than clinical reasons, with delays due to administration queries rising from 28% in 2013-14 to 41% last year.

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