permitted within government targets,' said Dr Hamish Meldrum, Chairman, BMA's GPs committee.
'Referral management schemes have nothing to do with rationing care - they simply help to ensure patients see the most appropriate clinician in the most convenient setting. If somebody needs to be referred to hospital then clearly they should be referred. It's down to the local NHS to make sure that patients have access to the services they need. But it is good management to look at whether some referrals could be better dealt with in a primary care or some other local setting,' said a spokesperson for the Department of Health, in response to the above criticism.