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NHS Direct: consistency of triage outcomes
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    Is it the call that needs refinement of the system? NHS Direct

    Dear Editor

    Regarding the article by O’Cathain et al. [1] it was interesting to note the conflicting statements made towards the end of the paper.

    The systems of NHS Direct were identified as having poor sensitivity and specificity when dealing with the studied calls, yet at the end the paper it states that the types of low priority calls referred need refinement due to at least one-fifth may be pass...

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    Conflict of Interest:
    None declared.