“…This may refl ect the fact that the majority of DTs are still likely to be employees in the GDS or salaried practitioners. 15 A recurring theme in this study and in previous work 12,14,[17][18][19] is the role of uncertainty in preventing referral. As demonstrated here, the uncertainty can be related to knowledge of the condition, the processes for referral and the consequences of referral in the broadest sense.…”