Table 1

Characteristics of referral management in each group

GroupReferral-management approachKey interventionsNumber of practices and registered populationAllocated budget; budget per registered patient (2011/2012)Recruitment of first practice; length of follow-up
1Internal peer reviewMonthly peer review of selected referrals; use of guidelines; monthly feedback reports to referring GPs; pathway redesign evidence2 practices; 33 837£85 946; £2.54April 2011; 12 months
2Internal peer reviewMonthly peer review of selected referrals; use of guidelines; monthly feedback reports to referring GPs; pathway redesign evidence23 practices; 206 005£113 303; £0.55aJune 2011; 9 months
3Referral-managementCreation of referral database; clinical and centre non-clinical review of all referrals; use of guidelines; 6-monthly feedback reports to referring clinician; pathway redesign evidence; booking of secondary care patient appointments for practices20 practices; 166 917£1 039 892; £6.23August 2010; 20 months
4Referral-managementCreation of referral database; clinical and centre non-clinical review of all referrals; pathway redesign evidence; evidence-based education for GPs; bimonthly feedback reports to referring clinician18 practices; 146 928£900 670; £6.13July 2010; 21 months
5Referral-managementCreation of referral database; clinical and centre non-clinical review of referral to seven specialties; pathway redesign evidence; 6-monthly feedback reports to referring clinician; booking of secondary care patient appointments for practices22 practices; 159 824£514 634; £3.22April 2011; 12 months
  • a Allocated budget for 2010/2011.