title: 'Xtra' contractual referrals.
abstract: This article will consider key issues of extra contractual referral (ECR) management primarily from a purchaser's perspective. What ECRs are, why their management is a vital concern for the NHS and what actions are necessary to ensure priority setting is not distorted will be briefly addressed.
authors.affiliation: Barking and Havering Health Authority.
authors.forename: H
authors.initials: H
authors.lastname: Hughes
mesh_terms: D003284:Contract Services / Q000191:economics*; D005249:Fees and Charges; D005376:Financial Management; D017754:Group Purchasing; D005102:Health Expenditures; D006801:Humans; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation / Q000191:economics*; D013222:State Medicine; D006113:United Kingdom