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"Appointment Lottery"

About: The Gateway Medical Practice

Having been here now for almost 5 years I can say very little has improved. If you win the appointment lottery then great. But as of today you still must use the dreaded econsult to get an appointment. Depending on the demand you may only get a small window to do so. Today for example you have to submit your econsult between 0730-0830. That is it. A one hour window and if you miss it or are unavailable then no health care for you. Don’t bother phoning up. They’ll just tell you to try again tomorrow or call 111 if it is urgent. Spend several hours negotiating 111 and you’ll just get referred back to your GP. Now if you can manage to find the time during the very specific one hour window to submit your econsult you then have to wait for the lottery if a call back. Don’t you dare miss that call. They ring once for about 10 seconds and if you don’t answer that is it. Start the process again waiting for the next one hour window. If you are at work during that window or otherwise unable to meet it then tough. The practice could not care less if they even tried to. I’m done with this practice. A simple change to the system such as being able to submit an econsult anytime would make a massive difference. I understand if I miss the deadline for the day it won’t be looked at until the next day but why is it that you can only submit it during that specific hour? And as for call backs, surely trying more than once is common courtesy. I can’t be the only patient at your surgery with a job that makes taking phone calls difficult. Can you not even give a window of when to expect the call? I was lucky once in my five years to win the appointment lottery. I sent in my econsult having used half a day of annual leave since my employer doesn’t do less than half a day, and managed to grab my phone as it rang two days later just in time right at the end of my lunch break. The phone call was rushed but I got invited to a face to face appointment and everything from there on was fantastic. But winning the appointment lottery is so difficult that I’m done with this practice. One appointment in five years is not an acceptable level of service to offer to patients. Even if it means I have to travel further for my appointments I’d much rather actually have an outside chance of getting an appointment in the first place.

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Responses

Response from The Gateway Medical Practice 2 months ago
The Gateway Medical Practice
Submitted on 04/04/2025 at 08:42
Published on nhs.uk at 08:42


Dear Patient, thank you for taking the time to leave your review. Please accept my apologises for the delay in responding. I have encountered some issues with the response and NHS Choices have been kindly resolving for me. I am sorry to hear of your frustrations around access and appointments. We recently reviewed our econsult process and the decision to reduce the time frame to one hour was to enable us to manage the demand safely and efficiently. Patients can also call at 8am for an 'on the day' appointment or call at any time to arrange a pre-booked appointment. All appointments are subject to availability. Our telephone system allows patients to use a call back functionality which means the patient can opt for a call back when they reach position one in the call queue. If this call is missed by the patient, their number will be stored as a priority number for the day. If they call the surgery back, they will head straight to the front of the queue. Our reception team are fully trained to signpost patients to the appropriate service once our appointment capacity is full. All of our telephone appointments are given a time frame of 7am - 6.30pm. Clinicians will manage their clinics and call in order of medical needs. This makes it difficult to give specific timings. I do understand this is frustrating. Patients can contact us if they have other commitments and advise of a convenient time to call. The clinician will endeavour to meet that request. If you would like to discuss further, please contact me directly on feedback.springhead@nhs.net. Thank you, Kate, Operations Manager

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