AbstractGet full access to this articleView all access options for this article.Get accessReferences1. Blundell N Clarke A Mays N (2010) Interpretations of referral appropriateness by senior health managers in five PCT areas in England: A qualitative investigation. Quality & Safety in Health Care 19(3): 182–186. DOI: 10.1136/qshc.2007.025684.2.Foot C, Naylor C and Imison C (2010) The quality of GP diagnosis and referral. Available at: www.kingsfund.org.uk/sites/default/files/Diagnosis%20and%20referral.pdf (accessed 3 May 2018).