NHS England wants all GP referrals to secondary care to be peer reviewed, and it believes that this can reduce referrals by “up to 30%.”1 The plans have met with shock and outrage in the tabloid press. Outrage is justified, but for rather different reasons. This is yet another example of non-evidence based policy making, capable of doing more harm than good. And it’s not a new idea. The NHS has been looking at similar proposals for years. The BMJ reported in January that a third of clinical commissioning groups have employed private companies to scrutinise referrals: three quarters were unable to show whether they’d saved …

中文翻译：

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玛格丽特·麦卡特尼（Margaret McCartney）：我们是否出于正当的理由审查了GP推荐人？

NHS England希望对所有转诊至二级医疗机构的GP进行同行评审，并认为这可以将转诊人数减少“最多30％”。1该计划在小报界引起了震惊和愤怒。愤怒是有道理的，但原因却截然不同。这是基于非证据的政策制定的又一个例子，它弊大于利。这不是一个新主意。NHS多年来一直在寻找类似的建议。BMJ在1月份的报告中说，三分之一的临床调试小组已经聘请了私人公司对转诊进行审查：四分之三无法表明他们是否保存了……