Report comment

I agree with JW - Designing or improving patient pathways do work, reduce the inappropriate and unnecessary secondary care referrals (thus cost savings), as well as enhancing clinical skills in primary care. BUT requires a huge culture shift. Clinicians from primary and secondary care have to be involved right from the start; and patient education is essential to reassure them that they can have their care given by their GP practice and do not always have to be referred to a specialist team.