To cut a longish story short, the orthodontist is short-staffed and there have been a series of issues with getting appointments.
The wire in her brace came loose at the back and was hurting her. I had to really push to get an appointment, and they referred her to a partner clinic. A couple of days later it popped out of the bracket again, but wasn't painful, so I gave in when they would only give an appt 2 weeks later. I did raise concerns quite forcefully over a series of conversations, however.
The wire obviously broke off while she was eating, and she swallowed it with her food. After a long evening at A&E and an X-ray, the doctors suggested that the wire most probably will stay in her stomach permanently, but that it could cause damage if it does shift, and that she was very lucky that it wasn't aspirated instead.
Practice manager is apologetic, and admits they didn't follow their own triage procedures. She also told me that they expect to have continuing issues with staffing for the next two months. It also looks like it is down to their head office whether they report the situation to the NHS formally.
If you were me, what would you do?