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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Doctors appointments - hen's teeth?!

42 replies

febel · 13/10/2019 08:34

Doctors appointments, rare as hens teeth round here. .I just wondered if it was the same in a lot of other areas. We really struggle in this area to get doctors appointments. I'm not just talking about my own practice, but at many other practices in the area , and I mean within a 30 mile radius as have talked to friends about it. There are never any appointments on line , or if they are they go within seconds of being put on.

In detail...I have been trying to get a follow up appointment for a problem and have been checking most days on line, no appointments.
If you phone as soon as the lines open you rarely get through , and when you do all the appointments are taken. OMG I hate the waiting music too , especially when you are 7th in the queue!
Other option, which most people I know resort to if they can, is to go and stand in the cold outside the surgery which opens at 8am. Obviously you can't do this unless you are
a) well enough to do so
b) have someone to look after your children whilst you stand in the queue

So, in detail, I went the other day, my day off, and I am lucky enough, and well enough, to be able to leave the house and queue. Doors open at 8am so always be certain to be there a GOOD 10 minutes before, preferably 15 minutes. There is normally at least 7 people in the queue by 8am when the doors open. I was 3rd in line at 8am as the door opened.

The first gentleman, about 60 years old, asked for an appointment with a specific doctor. and was told there were no appointments with him. He asked if there were any appointments,they looked and offered him one, which turned out to be with a female doctor. He said he wanted a male doctor as it was a male problem. There are at least 4 male doctors in the practice to my knowledge. They said there were no appointments. Meanwhile the whole queue are listening, and the bloke in front of me makes a hurried phone call telling someone that he's just heard this particular doctor has no appointments.. The first gentlemen, who has queued for 20 minutes prior to this, turned round and left, without an appointment, and was told to try another day.

Next person, also a gentleman, second in line, asked for an appointment with said doctor , told there was none. Said he'd have anyone then. I couldn't believe what I heard then, as the receptionist told him there were NO appointments with ANY doctors. At all. That day. By now it was t the latest 8.05am He got cross, understandably and asked how on earth he was supposed to get an appointment, and yes he had been trying on the phone and on line. Also ended up going out without an appointment.

My turn. Told no appointments. I asked why and explained I'd been trying for days and was a follow up appointment. They offered me a nurse practitioner at another practice a car journey away. I took it as I was desperate. Yes, I saw her later on that day. No, she wasn't any good really, and I basically told her what medication I thought I needed (have a friend who also has same disorder and she was shocked they hadn't put me on this particular medication to sort it) Nurse practitioner prescribed it. Job done and lets hope my condition isn't an indicator of anything more serious. I was probably unlucky or unfortunate as I am sure there are many excellent nurse practitioners out there, I know there are as I am friends with some of them! However the one I saw showed no interest in me and I didn't feel there was any continuity of care. She typed away slowly with 2 fingers and didn't really seem to know what to say.

In a lot of cases there doesn't seem to be a continuity of care as you never see the same doctor, or the lack of appointments ends up costing the NHS far more as things become serious. One friend recently had an operation, was discharged early ,yes I can see why,, to avoid infection, but no aftercare at all and the wound did become infected.. She phoned her doctors and told them, and they said perhaps she was getting flu! Next day she was worse and there were still no appointments and if she was concerned to call an ambulance. Surely this costs a lot more than seeing a doctor? When paramedics arrived they said she needed antibiotics for her wound and ended up phoning said doctors. Funnily enough 2 appointments, yes TWO were suddenly available for her to choose one. She ended up in hospital a few days later on intravenous antibiotics anyway..surely if the doctor had seen her earlier this may have been apreventable..cost and suffering and timewise.

People I know, don't go to the doctor unless they are ill, or seriously concerned. They wouldn't go to A&E or calling an ambulance unless it WAS a serious emergency. We keep being told to go to the Drop in Centre, in town so a car/bus/taxi journey where you wait for HOURS. As I say, not just our doctors but all practices in the area.

I worry for our beloved NHS, what has happened to it? My sister and mum work in it so I know how stretched they are, and they say A&E /Walk in Centre are choked with people who can't get appointments at their own doctors. What has happened? Is it a new booking system creating the problems in our area (my son doesn't have a problem living in Leeds) Or is it common to a lot of areas?

OP posts:
ScreamingValenta · 13/10/2019 10:26

Hope I am not jinxing things by saying this, but my surgery seems really good. I've always been able to get an appointment within 24 hours.

They seem to have a lot of staff who are qualified to prescribe without actually being doctors - they have various 'practitioner' titles - also several nurses - and the reception will book people in with one of them if suitable, freeing up the actual GPs.

lynsey91 · 13/10/2019 10:28

You can't go in person to my surgery. You phone at 8am to get an appointment for that day but usually the phone line is continually engaged and when you get through at 8.10 there are no appointments left!

You are only meant to phone for same day appointment if it's urgent but for a non urgent appointment you wait for ever.

I want to see a Dr about something not urgent and have been told there are no appointments in October at all (I asked on 4th October!). There is an appointment on 7th November but it is not at my surgery. i can't get to the surgery it is at.

TroysMammy · 13/10/2019 10:29

The choice isn't always there unfortunately. Three Doctors, two female, one male, it's not always possible to have one of each every day because of days off/ holidays.

The vast majority of people don't see the difficulties of trying to pleasing everyone when they are in the Doctors so don't twist this into a GP bashing thread please.

TroysMammy · 13/10/2019 10:30

GP Receptionist bashing thread

TheMonkeyWhale · 13/10/2019 10:32

@Troysmammy I am not the one bashing anyone. You shared your snarky comment to patients and misinformed facts on patient choice.

If you read my post upthread regarding my GP you will see I have no reason to complain about them (I am registered at the best GP practice in the country).

SwedishEdith · 13/10/2019 10:33

Mine seems to operate a triage system. I was really impressed recently. Receptionist took details, dr called back and I was in within an hour and in hospital for tests next morning (he had tried to get me in that afternoon).

healthylifestylee · 13/10/2019 10:35

This is why receptionist ask you why you want to see a dr - they will signpost to the most appropriate person to leave as many go appointments available so that when you call in need of one there's more chance of one
The nhs is failing it's a mine field and there are more trainee doctors which is great if your practice takes on trainees (they get to a certain level where that can see people and usually the appointments are longer)

Interestedwoman · 13/10/2019 10:39

I think at most surgeries if you call early (call before the claimed call time and you'll eventually get through before most others) you can get an emergency appointment for that day. It's just that most people don't realise they can do this and usually succeed.

People do have to make it sound slightly more like an emergency maybe in some places, but that can usually be done.

I was told by a nurse at one practice that a rash on your hand can count as suitable for an emergency appointment, if you're worried about it.

QueenofPain · 13/10/2019 10:43

You got exactly what you went in to ask for so I’m not sure what the problem is? Did you want her to argue with you about prescribing it first?

RuthW · 13/10/2019 10:44

Absolutely not. I work in a doctors and most days there are at least 5 appointments left at the end of the day.

The problem is when patients want a certain clinician or a certain day or time.

justintimberlakesfishwife · 13/10/2019 10:55

At my surgery, you call at 8.30 or 2pm, spend a good while on hold which is frustrating, admittedly. They then take down your details including why you want an apt, then a GP calls back to triage you. From that you either get an apt, or they resolve it over the phone (prescriptions for straightforward things, referrals etc). It seems to work ok and I generally get an appointment if I need one.
You can also do it online, but the triage call isn't quite a quick (but by the end of the next working day)

My frustrations previously have been being told at the end of an appointment that I need to come back in 7 days, then the receptionist saying that no, no appointments are available and I need to call on the day to book an emergency apt, which of course it isn't! I've had a standup row before about this, I'm ashamed to say. In the end the GP was able to sort it out. I assume now I can get around this using the online service to book a follow up.
We also have a weekend service that covers the borough (not for emergencies, just standard GP issues) and generally always has appointments so that's great. They need to refer to your own GP if referrals are needed etc, but at that point you've got your foot in the door so it's much more straightforward.

There are most definitely surgeries near me that it's nigh on impossible to get appointments at. I've several surgeries closer to my house than the one I'm at (which is only a 15min walk anyway and has been my surgery for over 20yrs) but there is no way I'm changing!
So at the moment for me the system is a bit convoluted but not too bad. Fingers crossed it continues like this.

BrigitsBigKnickers · 13/10/2019 11:11

We have to have a bun fight at 8:30 am at our doctors. You ring and ring and ring until you get through but it is very rare not to get a same day appt. I spent 10 mins trying to get through last week- 30 calls later and I got through to be offered 2 times within the following hour!

The only problem is that they have a lot of locums so you very rarely see the same doctor twice. They reserve some slots in the evenings for commuters and you can make future appts sometimes.

IdiotInDisguise · 13/10/2019 11:59

It is the same here. You need to be in the phone for an hour just to be told to try again tomorrow... for a couple of weeks! Even if you are in the phone the minute the surgery opens.

It is impossible to get a routine appointment or one for the day. You are offered phone appointments but then they don’t call. I have been seen urgently in A&E on three occasions when a condition that could have been easily controlled with a prescription from the GP early on has spiralled out of control to the point I need urgent and more expensive care.

There is no follow up either, yes the secretary calls to tell you x test was normal but nobody orders another test to find out what is going on if the first test is negative and symptoms persisted.

I think they only started taking me seriously last month when I formally requested to see my medical records. I have been quickly sent to a lot of tests in different hospitals, but it is still very common to get to a consultant appointment just to be told my GP didn’t forward details.

It is all very frustrating, but I have no doubt is not my GPs’ fault but the massive cuts to the NHS spearheaded by Jeremy Hunt and the Conservative party.

DippyAvocado · 13/10/2019 12:09

It's a joke here. You have to call at 8am or 2pm (afternoons are impossible if you're a teacher like me and DH). If you don't call at exactly 8 or 2 there is no chance of getting an appointment. Generally, even if you call on time, you eventually manage to get through after being on hold for 45 minutes to be told there are no appointments left. I often find it's best to wait until the surgery is closed and try for an after-hours emergency appointment. Failing that, for something important the only option is A&E as there are no walk-in centres in my area.

For a routine appointment the standard wait is 5-6 weeks, although they have started to book weekend appointments at "hub" practices around the local area, which is ok if you're able to travel 5 or 6 miles.

This is the only surgery in our town so it's not even as if there's an option to register elsewhere.

DippyAvocado · 13/10/2019 12:10

We also have the dreaded "the doctor will ring you back". Also not terribly helpful if you're a teacher who isn't allowed a phone in class.

PandaTurtle · 13/10/2019 12:21

Old surgery by London was fine - could see someone within 24 hours unless you insisted on a certain doctor. I was always given same doctor anyway unless he was off.

Moved rurally about a year ago and now it's the first appointment is in 4 weeks time unless its an emergency. It's not fit for purpose here.

AlphaBravoCharlieDelta · 13/10/2019 12:50

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