GP’s take part in referral management, meaning that their referrals are analysed to see if appropriate or not i.e. are they under or over referring etc.
So to get this right – GP’s are analysed for over or under referring so there “is” an emphasis on what GP’s are referring? Therefore is there not some pressure on GP’s to keep referrals to a sensible limit? That was my point!
Anyway the point is he is still in a lot of pain and its progressing , not static, therefore many other things could be occuring rather than “just ” a trapped nerve or pulled muscles.
BTW Vets also get a raw deal from joe public as they expect everything for free just like the NHS! We are not without critisism.