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"Flawed appointment booking process"

About: Harborne Medical Practice

This is a review of the appointment process in the surgery and not of the GPs or staff.

Where I appreciate the need to have a process in place for booking appointments, I genuinely can’t understand the management of the booking process, particularly for the 5 card appointments you can book directly in the surgery with the receptionist.

It is in my opinion that this is poorly organised and causes unnecessary anxiety to both staff and patients alike. The process as I understand it is the receptionist can only book 5 appointments in the surgery, beyond that you have to book either on the NHS app or call the surgery at the allotted times. This part makes sense to me, what doesn’t make sense is the organisation for the process. For example, I walking in today at 13:10 to book an appointment as I’ve had no luck getting an appointment over the phone or online. On arrival I was instructed, as on a previous occasion, that i can wait to try and secure 1 of 5 appointment cards available for when the appointment window opens up. At the time I walked into the surgery there was only two other ladies sat in the practice waiting, me being the third person to walk in. Previous experience told me to stay standing in the queue line to secure my place as the arguments from frustrated patients last time was unpleasant to observe. Unfortunately, this was not ideal for me having to stand for nearly 45 minutes as my current health concern is related to a painful joint condition.

However, what genuinely confuses me is that every person walking in for an appointment is simply told the same thing regardless of how many people that are now waiting! This is what is creating the frustration amongst patients. No one would be happy after waiting up to 45 minutes to secure an appointment to then be told all 5 card appointments have gone to the first five people.

It’s honestly not that there are only 5 appointment cards available that’s the problem here, it’s the fact it’s left to the patients to debate it out after finding out they wasting their time waiting.

My advice to avoid this is to simply manage the patience expectation on arrival by handing out the cards to the first five people through the door (first come first serve basis) with all later patients being told to use the app or call the surgery at the allotted booking times.

Second to that, I would strongly recommend that a manager or supervisor take the opportunity to sit in the waiting area to observe the current process to try and understand how flawed this process is and to then make positive changes to alleviate any unnecessary stress for all concerned during the busy booking windows. On a side note, I gratefully was able to secure an appointment with the GP today.

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Responses

Response from Harborne Medical Practice 3 months ago
Harborne Medical Practice
Submitted on 29/04/2025 at 17:39
Published on nhs.uk at 17:39


Dear Wayne

Thank you for taking the time to leave feedback on your experience when trying to book an appointment at our practice. It is never our intention to cause upset to our patients and staff and I am sorry we did not meet your expectations on this occasion. I am also very sorry you had to stand for 45 minutes and can see this is not at all ideal. Thank you for pointing out that your feedback relates to our processes rather than our staff and confirming you were able to make a GP appointment.

We recognise that demand for appointments can outstrip supply and aim to ensure equal access to these. In doing so we encourage patients to book appointments on line, by phone and in person where absolutely necessary.

In supporting patients to book in person, we ask that patients arrive no sooner than 13:45 for the afternoon clinics, however patients often choose to arrive sooner and wait for appointments to open up. This is not ideal as staff are unable to allocate appointments before this time, regardless of what time a patient arrives. If we were to give appointments to the first number of patients arriving, we anticipate we would have patients arriving during the morning while waiting for the afternoon surgery and this would be unfair to patients who use online booking or phone.

We aim to ensure that at least 5 appointments are allocated in person, however, there are occasions where we have more than 5, hence, we do not ask patients to leave as they too may get an appointment. We have tried many ways to manage this process, including not using the number allocation system and patients having to stand in the queue. This has resulted in upset and arguments breaking out in reception as some patients have sat to wait then their position in the queue, stating they are in front of another patient.

You helpfully suggest that a manager or supervisor take the opportunity to sit in the waiting area to observe the current process. This is a system which we already have in place as we have a Duty Manager overseeing reception daily, as well as a Team Manager who has responsibility for reception. The role of the Duty Manager is to monitor where support may be needed (particularly at key times) for staff or information provided for patients, etc. We have recently taken the decision to have all administrative staff available at 08:00 and 14:00 for a period of time to support staff and patients in reception at times where we know there may be more pressure.

We have recently employed another salaried GP as well as expanding our other clinical roles. This has increased our offer to patients and we hope patients feel the benefit from this additional provision.

I appreciate you taking the time to write such a comprehensive review and am happy to meet with you to discuss your experience further or any other suggestions you may have to improve our processes. Please let me know if you feel this would be helpful.

Best wishes

Lilian Sayers

Business Manager

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