A study of GP referrals to a family cancer clinic for breast/ovarian cancer

Objectives. The aim of this study was to investigate the appropriateness of primary ca re referrals to the Oxford Regional Genetics Service on account of a family history of breast and/or ovarian cancer and to explore GPs' ex pectations following a referral. Methods. Fifty consecutive GP referrers were sent a questionnaire post-refe rral, and their referral letters were reviewed. Results. The study achieved a high response rate (94%) and showed that many GPs did not know which patients warrant referral to the genetics service a nd that they had unrealistic expectations of what happens at the clinic. Conclusions. If GPs are to fulfil their gatekeeper role effectively, and po ssibly become more involved in the delivery of genetic services in the futu re, it is clear that they require further education in this area.