ABSTRACT
This chapter describes an audit into the use of x-rays and ultrasound carried out in a general practitioner (GP) practice. A start was made on x-rays and ultrasound, because there were a manageable number–only a few hundred per quarter. Requests for x-rays ought to be confined to those cases where the results are relevant to clinical management. It was discovered that spinal views are virtually useless to help manage patients, and so this highlighted a learning need for that particular doctor. An increase in the use of ultrasound demonstrated an ability to respond to changes in the availability of new technology and expertise, and a willingness to use less invasive but potentially more expensive methods to provide the best for patients. A GP spends a great deal of National Health Service money, through signing prescriptions, requesting investigations and referring people to a specialist. Looking at prescribing proved quite easy because prescribing details are provided by the Prescribing Pricing Authority.
