My surgery were quite good pre-Covid but since it's been pretty bad (in London). Can't get face to face virtually at all, or even telephone appointments easily.
The e-consult request system is often unavailable on line, the form is long and full of standard questions before you can fill in any details, and the call backs rarely happen in the time slot slot given. The phone is rarely answered, it cuts you off if you are on hold too long so getting through for anything urgent is a lottery.
I have a dodgy looking, very itchy mole in an inaccessible place on my back. Managed to get a friend to take a photo and send it with the e-consult form. Got a text asking for a better quality one! Well no, unless I am a contortionist I can't reach it. Finally got a referral letter for a clinical photograph at a hospital and was later informed via letter it's not considered serious. So no one has seen it up close in person and I was refused an in person appt "because it's been reviewed" and they won't remove it as it's considered cosmetic. Am now having to go private for removal as it's so itchy it's driving me mad.
I'm also on an acute, non repeatable painkiller and have to email them every 2 weeks for prescriptions which are then automatically done. How pointless. Asked for a medication review as one drug has nasty side effects, assuming that would be at least a phone call, no, just a letter saying it was fine to continue with next review November 2022.
Most of the e-consult appointments appear to be farmed out to a private company - the 2 I've had (in 18 months) were both very late calling me and rushing me/downright rude. One failed to update my records about a prescription change which only got picked up when I had to email the surgery asking about getting a repeat - they didn't even know I was on it.
There must be a massive backlog of undiagnosed conditions backing up until they become serious/life threatening/too late.