This is a plea to emergency and outpatient departments to take a long, hard look at how you communicate with GPs because it’s not getting any better; it’s just getting worse.

Let’s start with those letters that list a lot of tests and finish off with the cryptic note: “GP to follow up.”

Talk about kicking the can down the road.

I don’t take such letters lightly and have called many ED directors to point out the numerous issues there are with this ever-increasing practice.