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My GP has told me that 80% of their appointments don't need a GP appointment.

640 replies

Hiptothisjive · 16/10/2025 10:59

So I get that there are always people that need reassurance but this number shocked me. Basically a lot of people are visiting their GP for reasons they don't need to and taking up a lot of GP time.

It's great some of the prescriptions that can be given via a pharmacy now, but surely there needs to be a re-addressing of when to visit a doctor?

YABU - to expect people to know better than go to their GP when they don't need to
YANBU - people should go to the doctor whenever they want to no matter what the issue

OP posts:
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Needmorelego · 16/10/2025 13:08

Goldwren1923 · 16/10/2025 13:04

Receptionists are not medically trained

See the follow up comment I made just before yours.
I am not expecting them to be medically trained.

MrsBennetsPoorNervesAreBack · 16/10/2025 13:07

People go to their GPs because they don't know where else to go. Our local NHS trust is working really hard to address this - trying to work with the voluntary sector to get help to people before things escalate, trying to get the message out to people about where else to look for support. It's not easy to get the message out to people but they are doing their best.

SilkAndSparklesForParties · 16/10/2025 13:07

VickyEadieofThigh · 16/10/2025 11:26

In addition, the NHS Protocol for prescriptions to be given 28 days at a time must be using GP time unnecessarily. I'm now on blood pressure meds for life; at 67, I may well live another 20 years or more. Making me and all other like me request a prescription every 28 days ties up a GP more often than is necessary.

I fail to see why this is the "protocol".

💯

It astounds me how they dare to complain about how busy they are. Makes it hard to take them seriously.

DiscoBob · 16/10/2025 13:06

That is bizarre. I mean I wouldn't go to the doctor's unless I was in absolute agony and I knew they could prescribe something to ease the pain or I needed a specialist referral.

It seems peculiar to me that people would choose to go there if they don't need to. I guess colds that the patient wants antibiotics for might be a big one. But I'm struggling to imagine why it's so high.

RickertyRocker · 16/10/2025 13:06

There IS a gender pain gap. Women are expected to be in pain because of periods. Symptoms and pain are dismissed.

Goldwren1923 · 16/10/2025 13:04

Needmorelego · 16/10/2025 11:06

My GPs essentially triages you when you phone for an appointment and can advise whether or not you need to actually see the GP or whether it could be a phone call appointment, see the nurse or a HCA (Health Care Assistant?) or even just go to the pharmacy.
I personally find it good system but going by many threads on Mumsnet people don't like talking to the receptionist ("just someone who answers the phone....I'm not discussing my issue with them" 🙄
That's their job. They are trained to do that.

Receptionists are not medically trained

Needmorelego · 16/10/2025 13:04

To follow up my previous comment about the receptionists doing "triage" what I meant was just sorting patients to the correct medical person where possible.
So childhood vaccines, adult blood pressure check, ear syringing etc = make an appointment with the nurse.
Blood in your poo or lumps where there shouldn't be = make an appointment with the doctor.
I didn't mean any medical advice but just send you to the correct person.

Meadowfinch · 16/10/2025 13:04

anamo · 16/10/2025 13:00

£50 to be paid at A+E if you haven't been referred by primary care.

Unless, as in my case, I'd spent 5 months begging for help from my GP, and I only went to A&E when I genuinely thought I was dying.

I was right to think there was something badly wrong. The GP was incorrect.

Having said that, I'd happily have paid £50 by that point, they could have had my house, I was so desperate for help.

BoringBarbie · 16/10/2025 13:04

BrightSpark10 · 16/10/2025 12:13

Yeah, it works until it doesn’t. For example, let’s say I call in and mention that I’ve had abdominal pain and diarrhoea for the past few days. Without actually seeing someone, how can the receptionist or anyone else for that matter know whether it’s just a mild food issue or something more serious? That’s where my concern lies. I don’t mind explaining my symptoms, but some things can point to a range of possible conditions. Sometimes you need a more in-depth discussion about what’s happening, when it started, and how it’s progressed to really get to the bottom of it and to decide whether further tests might be needed, that’s where doctor is needed…

But can you not see that if every person who has a tummy bug or ate something that didn't agree with them is referred to a GP, to conduct all the tests that can be done in the surgery, and if they are also negative on to the hospital for scans and more invasive tests, it would be absolute chaos?

Most of the time if you have abdo pain and diarrhoea you need a day off work, a warm bath and some flat coke (or if you're feeling fancy rehydration tablets.)

RickertyRocker · 16/10/2025 13:03

vivainsomnia · 16/10/2025 12:59

If you got rid of all the appointments for viral infections, which should only warrant a visit if symptoms are getting worse after 1 week or no better after 3 weeks, and that includes children, that will be a good percentage off.

Same with sprains, muscle or joint pains, back pain.

Add mild stress and anxiety, black spots in vision, eye twitching, spots, bites, low fever etc....that are not worrisome unless these go on for weeks, that's another good percentage off the books.

I do find that parents seem to be quite dramatic quickly. A temperature of 39 and they are very worried, when it's not in itself. Saying g that I totally agree that this behaviour is encouraged by social media and website, and 111 are also alarmist as they are so scared, understandably, that a dismissal could turn into something serious, however unlikely it is.

Starting with people accepting that antibiotics should NOT be prescribed for a simple viral infection would be a very good start to reducing wastage.

Black spots in vision can be serious. I've just had PVD. TBF I went to the optician rather than GP. I waited because I didn't feel it was serious.

lifeonmars100 · 16/10/2025 13:03

popcornandpotatoes · 16/10/2025 12:55

I wonder how they've got this data tbh. There's plenty of stories out there of cancer being missed by GPs, genuine health issues misdiagnosed as anxiety etc. Do they count as unnecessary appointments?

I know a young person whose symptoms were dismissed as "health anxiety" and it was suggested that they went on a wating list for counselling They had cancer, it killed them

TwoBagsOfCompost · 16/10/2025 13:03

ShesTheAlbatross · 16/10/2025 11:16

But how many of those 80% are people who could/should reasonably have known they didn’t need to see a GP?
How many are people where the GP, with all their knowledge, has been able to say “this isn’t a problem”/“this will resolve on its own”/“some OTC medication will help this”, but actually the person wasn’t unreasonable to not have known that themselves. Are we counting that as someone who didn’t need the GP?

This response nails it. "Shouldn't be here" is meaningless without further context.

"Shouldn't be here" because thr patient booked a GP appt because they had the sniffles for one day (which to be fair means bad triage process and the surgery needs to fix it), or "shouldn't be here" after they had a reasonable worry and then a medical professional examined them and reassured them no further action?

Statistically it's highly unlikely that this 80% is entirely made up from the first category as above.

jan2310 · 16/10/2025 13:03

I used to have to have an appointment every 6 months to get HRT. I now submit my own blood pressure readings, order my prescription on an app and the pharmacy contact me when it’s ready to be collected. I recently wanted some blood tests, submitted an econsult, got a reply saying a form would be ready to collect. Booked my blood test appointment at my chosen date, time and venue and 2 days later all the results were on the nhs app. All without seeing a doctor and a brilliant service. Not everything these days needs a face to face doctors appointment but it will take time for some people to feel comfortable with that.

0008l · 16/10/2025 13:02

PineappleCoconut · 16/10/2025 12:55

Same here
my cancer was not anxiety
or menopause
or just because I needed to lose some weight
it would have helped if the first 5 appointment with my GP hadn’t each been with a different person and telephone only

I paid to go privately
Cancer found and removed and am slowly recovering

It’s scary how many people’s stories I’ve heard who are the exact same.
when I saw the private doctor he was bewildered that I hadn’t been referred but I think a huge thing was just he couldn’t see my notes so no “anxiety” prejudice. Instead he just looked at the symptoms in front of him.

I am so glad you are recovering well, we both went private, I often think about how long (if ever) it would have took the gp to stop saying anxiety and actually do something.
Flowers

nomas · 16/10/2025 13:02

The GP who continually fobbed off my dad with paracetamol for his stomach pain has similar views. It turned out my dad had pancreatic cancer and by the time his GP did anything, it was too late.

Til then, my dad been excellent health and hardly ever went to the GP.

I still have to see that smarmy GP's face. He's 80+ now and refuses to retire.

anamo · 16/10/2025 13:00

MouldyPeppers · 16/10/2025 12:45

Until they turn up at A&E either with a much more serious condition that should have been picked up earlier, or to avoid the cost of seeing a GP.

£50 to be paid at A+E if you haven't been referred by primary care.

vivainsomnia · 16/10/2025 12:59

If you got rid of all the appointments for viral infections, which should only warrant a visit if symptoms are getting worse after 1 week or no better after 3 weeks, and that includes children, that will be a good percentage off.

Same with sprains, muscle or joint pains, back pain.

Add mild stress and anxiety, black spots in vision, eye twitching, spots, bites, low fever etc....that are not worrisome unless these go on for weeks, that's another good percentage off the books.

I do find that parents seem to be quite dramatic quickly. A temperature of 39 and they are very worried, when it's not in itself. Saying g that I totally agree that this behaviour is encouraged by social media and website, and 111 are also alarmist as they are so scared, understandably, that a dismissal could turn into something serious, however unlikely it is.

Starting with people accepting that antibiotics should NOT be prescribed for a simple viral infection would be a very good start to reducing wastage.

nosleepforme · 16/10/2025 12:57

wow I’m shocked. I mean there are never appointments. I’ve been trying to get one for 10 weeks! And to hear 80% are not needed? Then why isn’t there a better process?
there will always be a percentage cos people don’t always know when it’s necessary, but 80% is ludicrous

ChocolateCinderToffee · 16/10/2025 12:57

anniegun · 16/10/2025 12:44

Charge a £10 fee and that will cut the numbers down

That would just mean that people who can afford the tenner would be at the doctor’s twice a week and people who can’t afford it would be seriously ill before they saw a doctor.

Ilikemywhiskysour · 16/10/2025 12:56

Mine was a waste, was told I shouldn’t be at the GP surgery but in A&E already and he phoned an ambulance 😬

Needmorelego · 16/10/2025 12:56

TypeyMcTypeface · 16/10/2025 12:19

This might be stating the obvious, but how can non-medical people be expected to diagnose whether what's wrong with them needs a GP appointment?

No one expects that 🤷

lifeonmars100 · 16/10/2025 12:56

Not been to the doctor for 7 years, would not even know how to go about getting an appointment these days. Dreading the day that I might need to see a GP as I hear how tough it is to even get through to the health centre by phone or online let alone to actually be spoken to or seen

PineappleCoconut · 16/10/2025 12:55

0008l · 16/10/2025 11:18

a very similar story. My doctor would say my appts weren’t needed, as I was being anxious, I had a whole host of issues that weren’t anxiety, nor was my cancer anxiety, I didn’t have anxiety just a terrible dr and once you have those notes it’s even harder to be taken seriously
i was lucky enough due to a wirk scheme yo be able to go private

Same here
my cancer was not anxiety
or menopause
or just because I needed to lose some weight
it would have helped if the first 5 appointment with my GP hadn’t each been with a different person and telephone only

I paid to go privately
Cancer found and removed and am slowly recovering

popcornandpotatoes · 16/10/2025 12:55

I wonder how they've got this data tbh. There's plenty of stories out there of cancer being missed by GPs, genuine health issues misdiagnosed as anxiety etc. Do they count as unnecessary appointments?

Needmorelego · 16/10/2025 12:54

BrightSpark10 · 16/10/2025 12:13

Yeah, it works until it doesn’t. For example, let’s say I call in and mention that I’ve had abdominal pain and diarrhoea for the past few days. Without actually seeing someone, how can the receptionist or anyone else for that matter know whether it’s just a mild food issue or something more serious? That’s where my concern lies. I don’t mind explaining my symptoms, but some things can point to a range of possible conditions. Sometimes you need a more in-depth discussion about what’s happening, when it started, and how it’s progressed to really get to the bottom of it and to decide whether further tests might be needed, that’s where doctor is needed…

In that case they would give you a doctor appointment.