I recently referred a patient for a quick admission for para-umbilical hernia to a different hospital in preference to her local hospital.
During her preoperative check she was found to have an ECG abnormality and the operation was postponed.
While she was waiting for the appointment to see the cardiologist at this hospital, she was admitted to her local hospital with chest pain, eventually being discharged.
However, as a result, she now has appointments at the cardiology departments of both hospitals.
Where will I end up when it comes to expenses through commissioning?
I would like to know whether other GPs are having similar experiences.
Dr Mathiaparanam Sreetharan, Balham, London.