"Hard to get anything done"

The doctors and nurses are generally nice but getting to see one of them is hard. I had to wait six months to book a smeer test, and they only do on the day appointments which are extremely hard to get unless you go down to the surgery at half seven and queue. They say they do bookable appointments but they only offer a few (literally) a month. I've also had problems getting things moved forward. I've had issues getting the secetry to type up and send off a referral about something quite urgent and have been left in pain because she forgot to send a referral off that the doctor had asked her to do. This must be fairly common because in the appointment he said if you haven't heard from the hospital after two weeks my secretary may have forgotten to send the referral. She didn't even ring me back to apologise and I've had to spend the last week chasing her. It's shocking.