Make sure that every referral follows an agreed pathway which optimises both their outcome and the use of resources

Data from the Action On and Collaborative pilot sites suggest that some 10 - 40% of new referrals from GPs do not require a surgical opinion. The benefits of putting the patient on the right pathway from the outset are considerable.  Listed below are some approaches that may help:

  • better information for GPs and patients about which pathway is best
  • allow GPs to refer direct to other pathways (eg orthotics, podiatry, extended scope physiotherapy)
  • encourage the development of GPs with a special interest in orthopaedics

How to do this in scenario generator

OUTCOME
CHANGE
Percentage of new referrals from primary care reduces Increase percentage routing to primary care by 10, 20, 30, 40%. Decrease % routing for routine and soon outpatient referral
Better patient information Increase or decrease percentages routing to Not Fit, Not Willing and increase percentage in self care
Allow GPs to refer to other pathways Increase % routing through direct referral to therapy, Xray.  Adjust % to medication and review in order to reconcile to 100%

Add new steps for orthotics and/or podiatry and adjust other primary care treatment percentages accordingly
Encourage development of GPSI, PCPSI Increase % routing through direct referral to GPSI/PCPI.  Adjust % to medication and review in order to reconcile to 100%