Condition category
Not Applicable
Date applied
23/01/2004
Date assigned
23/01/2004
Last edited
18/01/2010
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Prof Paul Kinnersley

ORCID ID

Contact details

Department of General Practice
University of Wales College of Medicine
Llanedeyrn Health Centre
Maelfa
Cardiff
CF23 9PN
United Kingdom
+44 (0)29 2054 1133
Kinnersley@cf.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

PSI06-24

Study information

Scientific title

Acronym

Study hypothesis

Methods are needed to ensure that those patients referred from primary to secondary care are those most likely to benefit. In-house referral is the referral of a patient by a general practitioner to another general practitioner within the same practice for a second opinion on the need for secondary care referral. To describe whether in-house referral is practical and acceptable to patients, and the health outcomes for patients.

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

GP practices

Trial type

Other

Patient information sheet

Condition

Not applicable

Intervention

Practices were randomized into an intervention or a control group. In intervention practices, patients with certain conditions who were about to be referred to secondary care were referred in-house. If the second clinician agreed referral was appropriate the patient was referred on to secondary care. In control practices patients were referred in the usual fashion. Patient satisfaction and health status was measured at the time of referral, 6 months and one year.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

1. Health status: SF 36
2. Patient Satisfaction: Medical Interview Satisfaction Scale (MISS)

Secondary outcome measures

Not provided at time of registration

Overall trial start date

01/04/1995

Overall trial end date

01/04/1997

Reason abandoned

Eligibility

Participant inclusion criteria

Patients judged to need hospital referral by their general practitioners. In the intervention practices, these patients were initially referred 'in-house' to another GP in the same practice. In control practices, patients were referred directly to hospital.

Participant type

Patient

Age group

Other

Gender

Both

Target number of participants

Not provided at time of registration

Participant exclusion criteria

Does not match inclusion criteria

Recruitment start date

01/04/1995

Recruitment end date

01/04/1997

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Department of General Practice
Cardiff
CF23 9PN
United Kingdom

Sponsor information

Organisation

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)

Sponsor details

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.doh.gov.uk

Funders

Funder type

Government

Funder name

NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

1. 1998 results in http://www.ncbi.nlm.nih.gov/pubmed/9464674
2. 1999 results in http://www.ncbi.nlm.nih.gov/pubmed/10625126

Publication citations

  1. Results

    Maggs-Rapport F, Kinnersley P, Owen P, In-house referral: changing general practitioners' roles in the referral of patients to secondary care., Soc Sci Med, 1998, 46, 1, 131-136.

  2. Results

    Kinnersley P, Rapport FM, Owen P, Stott N, In-house referral: a primary care alternative to immediate secondary care referral?, Fam Pract, 1999, 16, 6, 558-561.

Additional files

Editorial Notes