I would be curious about how many patients are aware of their right to refuse to do what the doctor says? There are so many people who still think doctors are always right and will do what they say, particularly if the options they are presented with are MUS clinic or nothing.
I think this is often a consideration. However, in the past people have been sent to 'pain clinics' or 'CFS clinics' etc. In this case they would effectively be being sent to a 'we think there is nothing wrong with you and that you are just a feeble minded lazy dumb sort of person clinic'.
The people who think up these ideas are often good at politics when it comes to self-serving people like themselves. However, they quite often come unstuck when it comes to the politics of communicating with ordinary people. There have been all sorts of clever plans for expanding general practice to make things cheap but they have come up against the fact that nobody wants to be a GP expected to do everything any more - so GP is actually dwindling. They set up call centres and the result was that even more people went to casualty. Setting up 'dumb lazy people clinics' seems to me to be a loser.
I have this sort of picture of a Monty Python sketch with Eric Idle as the doctor and Michael Palin as the patient;
Doctor: Now let me explain, you are here because your symptoms are unexplained and so of no real importance.
Patient: But how can they be unexplained if you have just explained them to me?
Doctor: That is a typical response of dumb people who have unexplained symptoms, we find they are much more likely to ask stupid questions like that than people whose symptoms are explained. This is explained by their false beliefs.
Patient: But then they are explained...
Doctor: Look, you are here to learn how to think the way you are supposed to think. You have already scored six minus points and you will not be allowed out of here until you have ten plus points, so, as I have explained, you need to stop thinking your symptoms are explained and accept that we know best...
Patient..... (tells fibs and eventually makes it to the door, never to return)