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Lewis Shepherd

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Dying for an Appointment

Posted: 25/02/2013 00:00

For a while now I've been seeing a number of debates online surrounding medical care in the UK, whether its about budget cuts, the issue of privatising the NHS or a number of problems surrounding the treatment of patients, which largely concentrates on the negative aspects of care some people have received. However something I rarely see, which is something that I've experienced recently, is the complexities of trying to get an appointment with your GP.

Recently after experiencing some problems I contacted my doctor's surgery to try and book an appointment, this to me seemed like a very straightforward task that would involve a telephone call and arranging the appointment. I'd already considered the fact that I may have to wait a few days, but as usual nothing is completely straightforward.

During my telephone conversation I was told that the earliest appointment I could have was the 1 March, which would have been fine if it was a few days before. However I just happened to be ringing three weeks before the given date, which to me seemed very strange. When I enquired about getting an earlier appointment I was told that they were fully booked until then, a phrase I thought was reserved for hotels, restaurants, hairdressers and the sort. Then when I mentioned that I'd been having a pain in my chest the receptionist, in a very rude manner, told me I should go straight to the hospital before saying goodbye and hanging up.

After this happened I was in total shock. I know if you experience pains in your chest then you should go to the hospital, but as the pain had been happening for a few days I was quite sure it wasn't a heart attack, hence my delay in approaching the hospital. It's also worth noting that a few months back when my partner had experienced extreme chest pains and we went to the hospital, he was told at A&E he should have gone to his local GP first. Talk about mixed messages.

The whole situation is baffling as it would appear the GP surgery expected me to predict and schedule the days that I was ill, I know this isn't the case but given the way I was told they were fully booked this is how it felt. I was also rudely told on the phone that to get a quicker appointment I would have to ring the next morning at 8am, which tells me and anyone else who has experienced this that the GP surgery did in fact have appointments, which they could hand out instead of making countless potential patients angrily tap away at their phones the next morning in an appointment bidding war.

I have actually done this before and it took around 68 engaged phone calls in four minutes before I actually got through to a person, at which point I couldn't get an appointment until 4pm.

Now many may blame this type of treatment on budget cuts or privatisation, but for as long as I can remember it has been like this. I can even remember my own mother enduring the telephone bidding war when I was younger to try and gain an appointment for the illness that she had so inconsiderately miss-scheduled.

It is a sad state of affairs that many people who are unwell and may in fact have a more serious underlying condition have to wait weeks on end to see their GP, by which time it could be too late. You could go to the hospital where like I previously mentioned you will be told you should have seen a GP first, be made to feel like you're wasting valuable hospital time and resources only to find out that there's nothing to worry about. You also get to find this out after an eight-hour wait, which is always a lovely experience.

Sadly there's nothing that can be done, and it looks like this is going to continue if the frightful news stories about the NHS and doctor's surgeries are to be believed. However I did file a complaint with the surgery on the day that I was denied an appointment as there was no room at the inn, but as you may have guessed I'm still waiting for a reply, which I won't hold my breath for as I may not be able to get an appointment for the lack of oxygen in body whilst doing so.

 

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01:17 PM on 03/03/2013
after thought that the nhs was regaining its composure nicely and steadily to question whether reform should go ahead or not but the pro/con ratio didn't even get a mention (only by the nhs itself of course and the people who irrelevent?) .add on the math was edited and sums done by bad math in the first place and a not ever bothered about what everyone else felt about the whole saga notion . people are getting tired of it all now though and not so quick to believe the hype its gonna inevitably all come to a head sooner or later so this could end up horribly backfireing and that won't be pretty thats for sure ,but to be expected under the circumstances
12:56 PM on 03/03/2013
its the fact it is getting to the point of why should we care? what with the drums tuning us the oh we pretend to give a t**** but you know we don't and don't matter cause you waste of resourses if sick and can't find a use for you now stigma and shame them attitude drone robot orelse pr thumping through the walls to the marching beat ? plus the surgerys are having to pack all the extra cases in and stress causes grumpyness and defencive attitudes which only makes it worse .although the appointment thing always sort of used this general approach i believe it was introduced at some point in theory to make sure a person wasn't a hypercondy forever making appointments when nowt wrong and docs couldn't get to see those who needed them .just a case then of remembering that the point and you could get your spot usually once upon a time plus i suppose some practices are better than others for whatever reason so luck too .the attitude has been forced into a more intolerant and assume it fake kinda mode saddly .the whole nhs reform has been pushed on a competition cost ratio line rather than actual care ,like everything else .consequense of that ? not alot more to say when things are done like that
11:16 PM on 02/26/2013
I would love to know where your doctors surgery is, as we have the same problem with ours and were attached to the main hospital. My daughter has many times had problems with being type1 diabetic, and needed to see someone asap, and we have also had the same treatment from the surgery receptionist. I also had to rush my very ill husband into A&E after docs turned us away again, he was admitted with a serious case of food poisioning, for which we found out what it was by a letter from the council. They say they have 26 walkin appointments aday that have to go to unegistered patients, if you work this out; no one will ever see a doctor, as they have to register everytime and with the influx of immigrants booking in on the free NHS treatment. We then suffer, ther is even a polish man who stands with a group of male friends everynight drinking hard til the early hours. I saw him coming out of the Hospital with medication for liver failure. Does your bloody head in. Figures and statistics come before patients and health now adays.
09:41 PM on 02/26/2013
My husband and I recently chaanged doctors because we couldnt get appointments without a lot of problems with ''receptionists. We were told on most occasions. 'We cant fit you in untill a week on so-and-so!! This we found unacceptable. Now we have a good surgery where we can see someone same day or day after.
09:38 PM on 02/26/2013
After reading all this I thought I would add a comment from the other side. Yes I am a dr's receptionist and yes everyone is entitled to put forward their case.
The appointment system is frustrating at times. Alot of the appointments get taked by serial offenders who come daily to the surgery. They see it as the answer to everything as they can't sort their lives out. People come for reasons such as "to have a chat with the dr" because they are lonely or bored. I am the first one to admit there is a problem. But this is more to do with modern attitudes to work in society.
If it helps you very often don't need an appointment for sicknotes if it is an ongoing problem, the doctor will often just write you one.
For repeat prescriptions you don't need an appointment just put your slip in, (in time!). If the doctor prescribed you something different last time just write it on the repeat slip. They will ring if there is a problem.
Everyday you can call the surgery when they open for a "book on day" appointment. These are for people who need to be seen that day.
If something happens during the day the doctors will fit you in if its urgent.
Lastly there is NHS Direct for advice. I used this service myself the other day for my child. I phoned and was saw within the hour. Its there please use it!
09:14 PM on 02/26/2013
never had a problem like this at all,always been able to see a doctor that day or at the latest early next day,think it depends on where you live to me.
05:44 PM on 02/26/2013
If told there are no appiontment available , I ask for a home visit, they usually " find " one then
05:04 PM on 02/26/2013
To be fair I have never experienced a rude nurse in fact all the rudeness I have witnessed have come from reception staff. I don't know the inns and outs of a NHS receptionists job and for all I know could be extremely stressful job and I know im irritable when stressed. Not an excuse for rudeness but maybe a contributory factor
04:34 PM on 02/26/2013
Has anyone ever phoned their GP Surgery after 10:30am, and asked for an urgent Appointment, and to be told to come later during that Day whereby you will be squeezed - into the timetable, when upon your arrival you find that you are the only one sitting in an empty Waiting - Room.
Some Squeeze that???
03:10 PM on 02/26/2013
When our 2 month 'premature' baby was 3 months old he was still fragile and the hospital told us any problems see your GP immediately.. we did have to take him one day he really wasnt well.. We were given a appt at the end of the day .. reluctantly by the receptionist.. We sat in the waiting room for 1 hour after our appt time... I complained to reception and was told to wait or go home.. it was up to me. I refused the offer and insisted a Doctor saw us now or can I use the phone to call 999. A doctor appeared in seconds after this request... as we walked behind him to his surgery office he turned to us and said " You do realise your appt is not with me so I am doing this as a favour" I asked " A favour ..a favour to your colleague who is running over 1 hour behind his scheduled appt times" he replied "No ...to your baby". My partner had to stop me hitting him. Every time our baby was ill after that we took him straight to the childrens ward at the hospital.. it was the hospitals suggestion after hearing what happened with the GP.
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sabpol
06:38 PM on 02/26/2013
That is absolutely disgusting, you should have reported the incident to the medical board
02:05 PM on 02/26/2013
The way to solve these long waitings and artificial over subscription of GP's appointment system is more doctors are needed. Govt in collaboration with the NHS should set up a rapid doctor training & recruitment schemes through scholarship award and free tuitions payment for students to study medice in key areas in demand... Set a target say e.g., 100,000 new doctors by 2020 and this will force down cost of running the NHS in the long run. If Govt & NHS can sponsor NHS-doctors training, not only would this reduce the current seven figures salaries payement to some current few cartel doctors who are determine to make NHS fail in order to even make more money by forcing patients into the private health sector scheme they are currently building underneath our eyes with the full suport of the Tory Govt, It is far cheaper to massively train more doctors for the NHS through such a scheme than for us to continue to on the current unsustainable path. GP's are private companies paid generously by the NHS and therefore they have to appear to be working very hard for all that monies they are paid by simply creating such a bottleneck appointment systems for their patients... its simple. The only cost saving way of getting around this in the long term is to produce more doctors specially for career in NHS.
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Norman Mitchison
01:23 PM on 02/26/2013
You get an appointment for about a fortnights time by which time you have recovered naturally, or are in a Chapel of Rest......
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rrozy2222
do as you would be done by
01:09 PM on 02/26/2013
Thank goodness I have a wonderful practice and the receptionists are second to none ........
04:42 PM on 02/26/2013
Count yourself lucky, as being one of the few.
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rrozy2222
do as you would be done by
05:22 PM on 02/26/2013
I dio , and feel sorry for people that have problem surgeries .....but then I am north of the border ..( and that is not intended as a slur on England )
01:09 PM on 02/26/2013
After a lifetime of athsma and re occuring coughs, colds, chest infections and hay fever in the summer all treated with western medicine under the NHS, for which I am not ungrateful.
I have had 10 years of wellbeing despite a stressful lifestyle since changing to a TCM practitioner. Not Chinese medicines or herbes, just physical treatments like acupuncture, massage and Tia Chi exercises and some diet change. Three trillion Chinese cant be wrong ;-)
Don't get me wrong western medicine is great for interventional emergency treatment but there seems to be a lack of wellbeing amongst the majority of people in the UK which needs addressing.
12:58 PM on 02/26/2013
I bumped into my doctor the other day and he said 'Good God I haven't seen you for ages!' I said 'No' I haven't been feeling very well'.
04:50 PM on 02/26/2013
This reminds me of a time when I had to have a Prescription from my GP, for when I went into his Surgery, he ( my GP ) had a very heavy Cold, and could hardly talk.
I told my GP to take some medication 3 times a Day, for which he thanked me for my advice, and I left.