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<p>Clinical peer reviews are a simple way for general practitioners (GPs) to support
each other and help patients get the best care, from the right person at the right
time, without having to make unnecessary trips to hospital. More than half of clinical
commissioning groups (CCGs) have already implemented some form of clinical peer review
system and the NHS England guidance will help ensure best practice is shared to the
remaining local commissioners.</p><p> </p><p>There is flexibility in how local CCGs
and their GPs implement prospective internal clinical peer review, but it should see
GPs reviewing each other’s new referrals to provide constructive feedback in a safe
learning environment. Delivering prospective internal peer review will help ensure
that all patients get access to the optimum care pathway. It should not be established
as an approval process and the referring GP retains responsibility for the patient
and makes the final decision.</p>
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