Impact of enhancing GP access to diagnostic imaging: A sco** review

A Phelan, J Broughan, G McCombe, C Collins… - Plos one, 2023 - journals.plos.org
Background Direct access to diagnostic imaging in General Practice provides an avenue to
reduce referrals to hospital-based specialities and emergency departments, and to ensure …

Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care

IM Sajid, A Parkunan, K Frost - BMJ open quality, 2021 - bmjopenquality.bmj.com
Objectives The largest proportion of general practitioner (GP) magnetic resonance imaging
(MRI) is musculoskeletal (MSK), with consistent annual growth. With limited supporting …

General practitioner referrals to one-stop clinics for symptoms that could be indicative of cancer: a systematic review of use and clinical outcomes

C Friedemann Smith, A Tompson, GA Holtman… - Family …, 2019 - academic.oup.com
Background One-stop clinics provide comprehensive diagnostic testing in one outpatient
appointment. They could benefit patients with conditions, such as cancer, whose outcomes …

Recognising colorectal cancer in primary care

N Calanzani, A Chang, M Van Melle… - Advances in …, 2021 - Springer
Colorectal cancer (CRC) is the third most common cancer worldwide. Primary care
professionals can play an important role in both prevention and early detection of CRC. Most …

'Diagnostic downshift': clinical and system consequences of extrapolating secondary care testing tactics to primary care

IM Sajid, K Frost, AK Paul - BMJ Evidence-Based Medicine, 2022 - ebm.bmj.com
Numerous drivers push specialist diagnostic approaches down to primary care ('diagnostic
downshift'), intuitively welcomed by clinicians and patients. However, primary care's different …

Patient experiences of the urgent cancer referral pathway—can the NHS do better? Semi‐Structured interviews with patients with upper gastrointestinal cancer

A Haste, M Lambert, L Sharp, R Thomson… - Health …, 2020 - Wiley Online Library
Background Timeliness is viewed as a key feature of health‐care quality. Internationally, this
is challenging. In England, cancer waiting time targets are currently not being met. For …

Direct access from general practice to transvaginal ultrasound for early detection of ovarian cancer: a feasibility study

ML Ladegaard Baun, M Dueholm, HN Heje… - … journal of primary …, 2021 - Taylor & Francis
Objective To investigate the feasibility of providing general practitioners (GPs) direct and fast
referral access to transvaginal ultrasound (TVUS). Design A prospective cohort study …

[HTML][HTML] Community diagnostic centres: bringing diagnostics closer to home

SWD Merriel, L Lee, R Neal - British Journal of General Practice, 2021 - bjgp.org
BACKGROUND In October 2021, NHS England announced the creation of 40 new
community diagnostic centres in England. The aims are to create faster, more direct access …

Direct access to imaging for cancer from primary care

SWD Merriel, I Francetic, P Buttle - bmj, 2023 - bmj.com
In November 2022 the NHS chief executive, Amanda Pritchard, announced that all general
practitioners in England will have direct access to diagnostic imaging for patients with …

[HTML][HTML] Patients from general practice with non-specific cancer symptoms: a retrospective study of symptoms and imaging

JMD de Chiffre, TE Ormstrup, MW Kusk, S Hess - BJGP open, 2024 - bjgpopen.org
Background Patients with non-specific symptoms or signs of cancer (NSSC) present a
challenge as they are a heterogeneous population who are not candidates for fast-track …