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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To complain to GP practice?

59 replies

Cluedokeys · 21/03/2024 14:28

Or am I being a drama queen?

Long story short, I’m worried I might have skin cancer. New and changing moles which look hideously similar to the examples of melanoma on the NHS website, I’m exhausted, and covered in a new, odd, blood fleck rash. I’m 31.
Prior to this I’ve not needed to see a GP for years.

I cannot get an appointment. I’ve called everyday for two weeks at the exact phone opening time in the morning, waited on hold for 40-55 minutes each day, to be told no appointments available and to call back tomorrow. You cannot make an appointment for a future date, you cannot make an appointment in person. Apparently, you can make an appointment online, but my partner and I have checked continuously for the last 2 weeks including at night and there are never any available. I’ve filled in an online consultation form which the auto response tells me will be reviewed by staff at the end of April, which is something I suppose, but I’m absolutely panicking that if it is something sinister, I need to be referred quite quickly for the best outcome.

I’m not sure whether the worry is clouding my judgement and I need to just calm down and keep trying, no big deal, or whether actually this is a pretty dismal set up which is worthy of a complaint?

OP posts:
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MumOfOneAwesomeHuman · 18/04/2024 14:20

Cluedokeys · 18/04/2024 13:32

Thanks all.
In the end I got so stressed out that I stopped trying to get an appointment and just waited for the online consultation to be reviewed. When it was reviewed (3 and a half weeks later in the end) I was offered an in-person GP appointment the following week, and from that I’ve now been referred to the hospital on the 2 week wait pathway.

Sorry didn't see your update. So glad you have the referral. Hope it's a false alarm obviously but if not glad you're being seen quickly now and will hopefully get treatment quickly too. Best of luck.

MumOfOneAwesomeHuman · 18/04/2024 14:18

Our town has a walk in GP surgery at the hospital. Have you checked your local a&e to see if they do?

Please see someone asap. Skin cancers are usually easily treatable but I know from family experience that there are rare ones which are time sensitive and need treating very quickly.

stayathomer · 18/04/2024 14:07

This sounds crazy but post a letter to them! It’ll get there the next day, it’s in writing and they’ll have to acknowledge it!!

Samlewis96 · 18/04/2024 14:04

DilemmaDelilah · 21/03/2024 14:38

I have much the same problem, but I have now figured out that the thing to do (with my surgery anyway) is to go down there at 8.30 and then I can usually arrange an appointment. If it's urgent it would be triaged and I might get a same-day telephone appointment. If it's not urgent then I might get a face to face appointment (if necessary) in 2-3 weeks. Longer if I want to see my own GP, shorter if I am prepared to see anyone.

My previous surgery wouldn't let you make an appointment if you called in person. Insisted you had to ring. Once I stood in reception ringing them and could see the receptionist answer it ( after letting it ring for ages) only to tell me no appointments. This was way before covid

ExpressCheckout · 18/04/2024 14:02

OP, here is my suggestion:

  1. Visit this website to find your local ICB: https://www.nhs.uk/nhs-services/find-your-local-integrated-care-board/
  2. Look for a contact us section, even better if it mentions 'primary care' or 'GP practices'. Find a phone number at the ICB and call them.
  3. They should be able to tell you how to get in touch with the GP formally (if they are ignoring you) or even put you in touch with commissioning teams.
Your local/regional ICB can, or should, be very concerned if you cannot get an appointment for something this serious. They contract the services, after all. Either way, make a polite, but well-informed, nuisance of yourself.
nhs.uk

Find your local integrated care board (ICB)

Integrated care boards (ICBs) replaced clinical commissioning groups (CCGs) in the NHS in England from 1 July 2022.

https://www.nhs.uk/nhs-services/find-your-local-integrated-care-board

Youzaname · 18/04/2024 13:52

Glad you’ve been seen but that’s awful. Definitely complain.

Practices are given funding in line with their patient list size and they should be making sure there are enough appointments.

To have to wait 4 and a half weeks to be referred on to a two week cancer pathway is absolutely appalling.

edit: also complain to your local ICB not just the practice. It may be a system problem but the ‘system’ needs to know.

BathTangle · 18/04/2024 13:47

I'm very glad you've been seen, but it must be worrying that you had to wait 4-5 weeks before starting on the two week pathway.

If you can face it, maybe write to the practice manager saying that you understand why the wait was so long but pointing out that you've now had a 5 week delay to diagnosis and potential treatment. You could even say that you are happy for them to share your complaint with the ICB / other authorities as evidence as to GPs need to be better resourced.

MotherJessAndKittens · 18/04/2024 13:39

Our GP's normally ask for a photo of the lesion then review and give appt if concerned. Could you take a photo and send to GP by email? I have an app called skin vision where you can upload photos of concerns and they are reviewed by doctors and tell you if you should see a GP/dermatologist. They picked up a BCC which was then removed by dermatology.

Cluedokeys · 18/04/2024 13:32

Thanks all.
In the end I got so stressed out that I stopped trying to get an appointment and just waited for the online consultation to be reviewed. When it was reviewed (3 and a half weeks later in the end) I was offered an in-person GP appointment the following week, and from that I’ve now been referred to the hospital on the 2 week wait pathway.

OP posts:
ForNaiceHiker · 22/03/2024 06:13

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Purpleturtle45 · 21/03/2024 22:01

I would 100% be going in and asking to speak to the practice manager. The service they are providing is unacceptable and it's their job to find a solution.

abracadabra1980 · 21/03/2024 21:54

I always call mid afternoon - after lunch and get though-especially if I explain what it is and that it's urgent. I appreciate every practice is different though.
.

DaisyCat33 · 21/03/2024 21:15

This is awful. I'm so sorry OP. I would demand to speak to the practice manager and very firmly explain to them that you have concerning symptoms of cancer, you've been turned away for 2 weeks, and if you don't get to see a doctor & get referred urgently under the 2 week wait asap then it will be on their conscience if it is cancer!!

If all else fails OP, could you afford to see a private GP? They're usually about £100 for an appointment. Or a private dermatologist might be about £200. They can usually refer you back to the NHS. Expensive, but would put your mind at rest!

Barney16 · 21/03/2024 20:57

I would say go private but I noticed that in one of your posts you explained that wasn't possible. Write a letter to the GP practice and explain that you are concerned that you may have skin cancer and although you have tried many times to make an appointment you have not been able to do so. Then ask them to recommend to you what the next step you should take should be. Then take the letter to the surgery. Go to Reception and say that you have a letter asking them what your next step should be because you think you may have skin cancer and you can't get an appointment. That may well be the nudge they need.

Cluedokeys · 21/03/2024 20:27

Thank you, I have tried 111, who said that I need to see my GP within a few days, but that they aren’t able to offer any appointments at the surgery. They have advised to go to an urgent care centre 25 miles away over the weekend if I can’t get an appointment tomorrow, because urgent care can refer me back to the GP! It seems like a huge waste of everyone’s time but I will do it if I have to!

@hillaryjg yep, that’s correct!

@Blackcats7 Thank you for the reassuring words, very much appreciated.

OP posts:
Ophy83 · 21/03/2024 20:15

As others have said, try 111.

Alternatively, if you can afford it or have insurance, find a local private dermatology clinic that will do a complete body mole check. You shouldn't have to do that though.

I would also complain, initially via PALS. GPs are the gateways to the NHS and it should be possible to get an appointment. They are not operating a safe system if it'simpossible to get an appointment for a serious issue.

Chimpandcheese · 21/03/2024 19:55

@Cluedokeys do you know if there are any private skin clinics near you? Some of these have mole checking and mapping appointments - images or moles are reviewed by a dermatologist. Not cheap but probably affordable. Incidentally, how long have you had the rash?

Blackcats7 · 21/03/2024 19:39

Put the details of your situation in writing to the practice manager. They won’t fancy the possibility of any responsibility should your concerns turn out to be correct and should get you seen asap.
If it is skin cancer, and hopefully it is not, don’t think the worst because there are types that are not systemic so not that much of an issue and in the rare chance it is melanoma there are treatments now that have really improved in just the past decade or so.
I have melanoma myself so been there got the tshirt.
Feel free to message me if I can be of any help at any point.

RethinkingLife · 21/03/2024 18:56

I spoke to a lady in Boots but she said because I have other symptoms they don’t advise that I use their service and I should see my GP instead

I would mention that to 111, or in your letter/email to your GP. You tried for an option and they signposted you back to your GP.

Cluedokeys · 21/03/2024 18:45

Thank you very much for the advice everybody, I am going to go in person tomorrow, even though it ‘isn’t allowed’, and if that doesn’t work, I will write a letter and email the practice manager.

I spoke to a lady in Boots but she said because I have other symptoms they don’t advise that I use their service and I should see my GP instead 🙃.

I really can’t afford to see anyone privately, else I would have done so by now.

OP posts:
hillaryjg · 21/03/2024 17:53

You've filled in an econsult and they've said they won't even review it until the end of April? Did I read that right?

MrsCarson · 21/03/2024 17:46

MrsPeannut · 21/03/2024 16:11

I used to go to a practice who did same day appointments only. I would call repeatedly two minutes before phone line opened so that I was one of the first through soon as it open.

So say it opened at 8am, I would press redial from 7.58am which always meant I was able to be one of the very first through once phone lines opened.

Maybe give that a go?

That's what we have to do too.
I have also found that if you ask for an appointment to see the nurse, they get you in and then the nurse looks at it and goes and gets the doctor anyway.

TheFormidableMrsC · 21/03/2024 17:39

I would be walking in and say that you are seeking a referral for cancer under the two week guidelines. Do not take no for an answer. This is truly despicable.

WorkInProgress01 · 21/03/2024 17:30

Op, I know you might not want to go private but I had a mole on my face and my gp told me it was skin cancer (she had sent off a picture of it she took with a special camera.) I received a letter from the hospital to tell me I was on the waiting list.

I was waiting so long I was starting to worry and the mark was growing. I got a private appointment with a dermatologist and at the appointment he said, That’s not skin cancer but do you want me to remove it anyway? I said, Yes please and he did it straight away.

Consultation and minor op done in half an hour. I appreciate you might not have the money to do that but it is a straightforward option if you can.

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