We have a call system but times changed a changed a little while back.
Never heard of e-consult. We used to be able to use my health online to book routine appointments, but I never managed to see one available on there. Not all were released on there anyway. I used to use it to request repeat prescriptions, but get the chemist to do it now. They have stopped using my health online and there has been no replacement.
Used to be that phone lines opening at 8am for appointments, but had to be before 10am for an emergency morning appointment. You either got an engaged tone and needed to keep redialling, or got held in a queue, but without any indication of where in the queue you were.
The new system is 8.30 for emergency morning appointments, and 10.00 for routine ones. If you call too early and pick the option for a routine appointment, the message says you are too early. It will then end the call so you need to redial. I find it best to call at 9.59 so you get through the recorded message and can join the queue at 10.00.
Even doing that it is easy to be number 12 or 15 in the queue. I normally find I can get an appointment within a few days of trying. My latest one took 8 days of calling. There were some days I didn't call because I asked in advance if they had appointments to give out on the following day. Sometimes they don't (not enough cover to offer them) so I don't even bother. One of the days I hadn't checked I was number three in the queue and there was none available so I assume they had none that day.
Having said that the one time I asked what to do, as the surgery had sent me a letter telling me I needed to see the GP following blood test results, but I couldn't get an appointment after a few days of trying. I was told to email and they added me to the call back list instead - GP needed to just ask one or two quick questions before deciding whether to change my description so didn't need to actually see me in person.
There are times when I am not sure if they will class it as an emergency or not. When asked if routine or emergency appointment is needed will explain the issue and let them decide. Doing this has sometimes ended up with being offered an emergency appointment, either with a GP or nurse practitioner.
I feel sorry for everyone involved. There are not enough GPs and the pressure means that more are leaving than joining the profession, making it even harder for those that remain. Patients in some practices find it hard to get an appointment, and when they do they can often see different doctors so there is no continuity of care. The GPs are also against the clock when it comes to an appointment and so for so many conditions it takes time that they do not have to gain a full picture/understanding. That can lead to patients either not getting the care they need, or getting it but feeling that they haven't been fully listened to. Receptionists get stereotyped, and whilst some meet up to that picture, not all do. They probably don't get very well by some patients either when only trying to do their job,