Seale is right to observe that this is the first published empirical study of interpreter-mediated consultations in UK primary care; in the past 10 years, with several colleagues I was unsuccessful in getting funding for such a study.1 The paper is shocking to the extent that it shows in one UK setting — but there is no reason to suppose this was atypical — a flagrant disregard for well-evidenced guidelines2–4 on the need for proper interpreters in consultations between health professionals and people with limited English proficiency.
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