NICE Guidance Flawed?

In 2015 NICE updated its guidelines relating to patients presenting to GPs with suspicious lesions or lumps in the mouth. It involved referral to a dentist within 2 weeks for assessment for a possible oral cancer.

Why are the patients not being directed to a hospital at once? Delay in diagnosis always worsens the likely outcome.  Given the strong link between social deprivation and these cancers how many of the patients will have a dentist to see?

The Daily Express (Nov 22)  and others reported on concerns about these guidelines, expressed in the British Journal of Oral and Maxillo-facial Surgery.

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