referrals may well have reversed since 1991 because of the NHS reforms, which have seen so many radical changes in both general practice and the hospital sector.Until more up to date national data are available, Armstrong and Nicoll's argument, which is based on historical trends, may not be applicable.In addition, our figures show a small decrease in the number of patients followed up during the period.This is contrary to Armstrong and Nicoll's suggestion that the problem of recycling patients has become worse in recent years and has resulted in access for new outpatient referrals being blocked.
No takes yet. Share an insight, caveat, or question.
A 1995 study studied this question.
Synapse has enriched one closely related paper. Consider it for comparative context: