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If my GP refers me (or anyone) for a specialist consultation, why does the hospital then have to triage it?

(79 Posts)
M0nica Thu 26-May-22 14:40:11

Three times in the last few years DH or I have been referred to a hospital consultant by our GP, who, like every GP is a qualified and highly trained doctor.

Why then does the hospital then feel the need to double check whether you really need to see a specialist or not?

These triage checks are not done by other doctors but by nurses or other capable and trained people, who nevertheless do not have the training and knowledge of the GP who made the original decision.

In my case, I had a scan as part of a long ongoing medical survey and the scan showed something concerning enough for those running the trial to send a letter and a copy of the scan to my GP . I was contacted by my GP, who immediately referred me for a more detailed scan to see quite what the problem is as it may need ongoing treatment to protect my health. But first the hospital has to triage me to see if I really do need a scan.

How can they know whether I really need a scan considering that the only way the original possible diagnosis can only be confirmed by another more detailed scan?

In a previous case even after I had seen the specialist, who confirmed that my need for a minor operation was incontrovertable. I was still made to have a whole series of extra tests, which the consultant said were completely unnecessary, to check whether I really needed the operation. A very minor one done under sedation, not anaesthetic.

I think the cost of all the extra reviews of my case, probably cost more than the operation.

GillJames Tue 31-May-22 16:01:53

I can only relate my own very different experience. On 8 October 2021 I presented with disturbing gynaecological symptoms. I contacted my GP surgery where I saw the advanced practitioner nurse on 11 October who referred me straight away. Without triage I was seen on 28 October. I had a CT scan on 15 November and a minor procedure on 22 November. I had an MR I scan on 30 November. I was discussed in Multidisciplinary Committe. On Christmas Eve I was given the news that I was referred on to a bigger hospital and I did require major surgery. I had a meeting at that hospital on New Years Eve. I had my surgery on 31 January. I had a follow up on that on 1 March. Something else (also discussed a MDC) needed to be followed up and I saw the specialist again on 5 April. I had further surgery on 9 May and will be seen again in July.

Hippie20 Tue 31-May-22 19:32:07

I so agree with you.

Hippie20 Tue 31-May-22 19:37:35

Some medical conditions such as cancer investigations there is a 2 week protocol but it is completely different for so called elective procedures such as knee and hip replacements where you can be waiting for years.