General practitioners make over 9 million referrals each year, triggering many billions of pounds of expenditure. There is also significant variation in the quality and rate of referral between GPs and GP practices. As the NHS faces a prospective funding gap of £14-£20 billion and GPs take the lead for ...
This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in ...