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"Difficulty getting a GP appointment"

About: Fife Community Services

(as a service user),

I rang 2 weeks ago to make a GP appointment. I was asked if it was an emergency or routine. I answered, “routine” and was told all appointments has been taken and to call back the following day after 8.30am (I didn’t get through until approx 11am). When I did eventually get through, I was again told there were still no appointments available. I rang almost every morning after 8.30am, not getting through till around 10.30 or 11am, finally getting an appointment 4 weeks ahead.

I appreciate the huge pressures GP practices are under (closure, recruitment and staffing difficulties, budgets - the list goes on).

However, the "ring after 8. 30am" mantra/script that one is greeted with, if you manage to even get through to speak to someone between 8. 30 and 10. 30 (or later depending on the day of the week) seems well past its use-by date and so inhelpful.

The simple fact is that if you are fortunate enough to have a job, you are either driving or working at 8. 30am in the morning or later. Trying to phone whilst at the wheel is not to be recommended and no employer welcomes taking time off to continually ring past the engaged tone in the hope you'll eventually get through. And, here's the rub - when you eventually do, you're often told that any available appointments have already been taken!

So, where does this leave those of us who do not make frequent appointments, which means that when we request to see a doctor, it's because we genuinely need to in the near rather than the distant future.

Media adverts are now strongly recommending we see a doctor as soon as possible if we have a persistent cough or other symptoms that might need urgent attention - but this is practically impossible now. I have a great GP practice and terrific doctors but, I suspect, they are handicapped by rules and regulations, crisis management and fire-fighting just like every other practice in Kirkcaldy, Fife.

Surely, in this era of available technologies something can be done, and soon, to alleviate this situation. Telephone consultations I find are not a great help as even these seem to be rationed out and there is no visual communication which is so important ref observation and visual cues (assuming the doctor's eyes aren't focussed on the computer screen in the patient's presence! ).

Please, NHS Fife, put on your thinking caps and come with a solution that works for the majority of patients (I know it will never be perfect) - not just for those who are at home (unemployed, retired or off their work due to illness) who are able to sit by their phones constantly re-dialling to get through to reception. I'd be happy to participate in a focus group, a huddle, or whatever it takes to start to actually listen to the patient experience within Fife GP services and come up with solutions rather than excuses As Autumn and then Winter come upon us, the race to make an GP appointment is going to get even worse.

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Responses

Response from Louise Ewing, Clinical Service Manager, Older Adult Services, Health & Social Care Partnership Fife Wide 6 years ago
Louise Ewing
Clinical Service Manager, Older Adult Services,
Health & Social Care Partnership Fife Wide
Submitted on 13/09/2017 at 12:03
Published on Care Opinion at 12:09


picture of Louise Ewing

Dear Mlobo

Thank you for taking the time to tell us about your recent experience of trying to make a GP appointment. Your post outlines the real issues being faced in practice and the negative impact for those trying to access appointments. I was sorry to hear of the difficulties you experienced and acknowledge your frustration. The issues you describe are not unique to Fife and for that reason all Boards are in the process of redesigning services to ensure their sustainability. Nationally, resource has been made available to support advancing the practice of other professional staff groups; as it may not always be necessary to see a GP. Information is available to signpost people to the most appropriate service; a copy of which I have attached for your information. In addition to this Boards are looking at the way in which services are delivered in the community to improve accessibility for all.

In terms of your specific experience, I would be happy to share this with the Practice concerned to get more direct feedback if that would be helpful. Please contact me directly if you wish me to do that on 01592 648154.

Regards

Louise

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by MLobo (a service user)

There is no attachment (I can't see it!). I would appreciate speaking with you directly. I telephoned on the number you suggested but you were otherwise engaged and I was told you would return my call.

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