Menopause Matters Forum

Menopause Discussion => Other Health Discussion => Topic started by: SueRoe on May 07, 2015, 04:19:37 PM

Title: Access to GPs
Post by: SueRoe on May 07, 2015, 04:19:37 PM
I'm quite shocked by the trouble some ladies are reporting in getting to see a GP. Do they have to wait several days or even weeks because they want a pre-bookable appointment with a specific GP, or do they have to wait that long to see any GP at all? If it's the latter that's really bad. In my naivety I thought all surgeries offered what ours does, ie you phone at 8am to be seen that day. You can't always get the GP you want but if you're prompt you often can, - and they'll always see you if you're too ill to wait until the next day after they've spoken to you on the phone. What is it that makes such a huge difference in service between one surgery and another. Is it regional? Or to do with practice management?
Title: Re: Access to GPs
Post by: Dyan on May 07, 2015, 04:23:49 PM
Don't know Freda.
I haven't seen my own GP for years. It would be several weeks before I got an appointment with him.
I rang for an appointment the other day and was told there wasn't anything available with any Dr or nurse for 4 weeks.
We can ring at 8am to be seen that day but you don't know who you are going to see.
Title: Re: Access to GPs
Post by: oldsheep on May 07, 2015, 04:27:34 PM
My GP surgery has 2 trainees and 1 proper GP (2 that no-one really wants to see from E. Europe etc, not being prejudiced but they just aren't clinically good doctors) so it's really hard to get an appointment with the main man as he's only there 3x a week and then not all day. If you phone at 8am (you'll get through by 8.20 if you're lucky) and it's an emergency, they try to fit you in with the duty doctor. When there are no trainees on the 9 month internship, you often can't get the 8am appointments either.
OH is at a different surgery where he once waited a month to see the GP he wanted to see. (the GP was worth the wait -he's great).
This is London. None of the good ones work more than a few days per week.
My neighbour has a senior GP friend who earns 100k a year for a 2 day week!
Title: Re: Access to GPs
Post by: Ju Ju on May 07, 2015, 05:29:43 PM
The GP who I need to see only works 3 days a week, so I have to wait 2 weeks for an appointment. She's lovely, so I suspect others prefer to see her. If I needed to see a doctor urgently, I have always been able to get an appointment the same day, but you can't choose who you see.
Title: Re: Access to GPs
Post by: toffeecushion on May 07, 2015, 05:41:53 PM
If we ask to see a doctor on the same day a doctor will phone you back within 2 hours to see if you need to see one.  How they can tell if an ear ache or sore throat is serious over the phone is beyond me.  Other than that you can wait about 2 weeks to see a doctor.
Title: Re: Access to GPs
Post by: Annie0710 on May 07, 2015, 06:02:56 PM
If I ring at 8.30am when the lines open I have to say what's wrong with me, if it's not urgent they'll offer a gp phone call

I've been waiting 2 weeks now for a phone call, he's been sent 2 internal messages from secretaries prompting him to call me to give advice


Annie
Title: Re: Access to GPs
Post by: bramble on May 07, 2015, 06:17:07 PM
I have just had a 3 week wait to see my own doctor. If I wanted one sooner then I just take pot luck. If it is an emergency then I phone at 8am and get who is on that day. It does not make for continual care.
Bramble
Title: Re: Access to GPs
Post by: CLKD on May 07, 2015, 06:28:18 PM
We are between a rock and a hard place.  Our village Surgery is a satellite building so the GPs aren't here every day but there is always a pharmacy open and the Practice Nurses are here most days.  So we may get an appt. in the town 4 miles away on the day  :-\ but are told we have to wait to see a GP in the village. 

It is because Trainees are no longer signing up to be GPs and we are currently facing a shortage which will get worse because GPs who qualified in 'my day' (1970s/80s) are planning retirement.  So this situation will get worse.  It's no good the Government of the day/tomorrow saying they are going to pump in another £B because it takes 5 years to train and there will be a problem because unless Practice situations improve, Doctors won't go into Surgeries.

However, when I was very ill I would sit in the Waiting Room where I felt safe and my GP always let me pop in for reassurance.  When I have problems getting an appt. I ask for a house call - that usually works  ;)
Title: Re: Access to GPs
Post by: honeybun on May 07, 2015, 07:27:00 PM
We are lucky I think. Our two town GP practices merged in a new medical center. There are a couple who I would rather not see but if it's an emergency then they are ok. We have a pretty even mix of male and female.
Call at 8:30 for an on the day appointment and max a week for the GP of choice. Home visits are still done.
I have had a couple of occasions when I needed a GP immediately and got one. When my hubby was very very ill....and denying it....I got a GP to the house in 10 mins...he had diabetes.

Also I had a very bad burn on my neck and got a nurses appointement every day for a week to change my dressings. She even taught hubby how to look after my burn.

I have had lessons at my surgery in how to do emergency injections for my hubby.

Basically they are great.

I don't live in a city though....our surgery is about four miles away.


Honeybun
X
Title: Re: Access to GPs
Post by: Joyce on May 07, 2015, 09:34:12 PM
My surgery is local, 5 minute walk. Can't remember last time I saw my own GP. He is only there part time as he teaches at the hospital too. There are 4 female GPs, half are part time & 2 male GPs who are full time.

Appointments are hard to come by. There are a few on the day ones available from 8am, otherwise it's a 2/3 week wait.
Title: Re: Access to GPs
Post by: CLKD on May 07, 2015, 10:03:23 PM
Ringing at 8.00 doesn't work. The Staff wont' answer the phone before and by 8.00 a.m. the lines are busy.  Quicker to walk down and ask  ::)
Title: Re: Access to GPs
Post by: oldsheep on May 08, 2015, 08:22:59 AM
getting a sense here of why A&E is so busy everywhere.
Title: Re: Access to GPs
Post by: Joyce on May 08, 2015, 10:03:00 AM
Our receptionists ignore patients at desk. They all have their chairs/desks facing away from desk. So we end up having to knock on their window. Quite rude really. I've heard they are like that amongst themselves too. Only one is pleasant.  Spoke to friend & at her surgery it's even worse, reception staff have their own big office & can only see desk through an open door.  I walked down once & complained about them not answering their phones after lunch & got abrupt reply that they'd had a meeting & forgotten to turn system back on. Not good enough!
Title: Re: Access to GPs
Post by: Taz2 on May 08, 2015, 11:44:21 AM
My surgery has just changed back to the triage system where if you want to see a doc that day they phone you back, discuss your symptoms and then, if a consultation is considered necessary, you are given a time to arrive to see the duty doctor. It's a "sit and wait" system so can take a while. My doc I prefer to see works two days a week in the NHS and the other days at a private women's health clinic. She is usually booked up around two weeks in advance.

The downside with the triage system is that if you are at work you don't always want to go into medical details on the phone in front of colleagues.

Sparkle - you are so right. I saw the duty doctor this week and the missed appointments last month were 374.

Taz x
Title: Re: Access to GPs
Post by: Joyce on May 08, 2015, 01:35:45 PM
Last time I went missed appointments were over 100. Sorry state of affairs. Recently one guy got so fed up waiting he walked out. If he'd only asked he'd have found out he was next, in fact his name was called 5 minutes later.
Title: Re: Access to GPs
Post by: dahliagirl on May 08, 2015, 02:04:30 PM
My doctors used to have 5 gps and I used to see my own, unless I was in a hurry and saw whoever was free.

Now they have another surgery and there are about 10 doctors on the list, plus others - maybe they do not update the list of non-partners, or they are locums or whatever - don't know.

Now I can book appointments online so can see who the doctors are but there is not an appointment for the next week and a half.  There will probably be some appointments if I ring up, but that would have to be urgent.  When I had to ring up for urgent appointments post surgery, I saw the duty doctor on the same day or got a phone call and was fitted in outside the appointment system.  I have also rung up at 6pm and been seen at 6.30pm for a kidney stone (actually, husband did the ringing - I was out of it!) so emergency coverage is good.

If I want to see a particular doctor, they only seem to be there for a couple of days (or less) every other week, so I have to choose an appointment way before I know I am going to need it - usually about 3 weeks but it has been 4.  I currently have two that I like and who seem to work the same way, so I try and see one of them.
Title: Re: Access to GPs
Post by: thorntrees on May 08, 2015, 02:20:27 PM
We are very lucky with our surgery. It has 5 partner GPs plus others who work part time or as locums. We can make on line bookings, usually have to wait about 4/5 days for a particular Doctor but on the day appointments by phone with a queuing system so you know how many are on the line in front of you. The reception staff are always pleasant and helpful, we can get repeat prescriptions on line delivered either to home or the local chemist so we have no complaints at all. In fact as we have got older it is one of the reasons for staying put when we really ought to be thinking about moving to a smaller house/bungalow and to be nearer to our eldest daughter, the younger one having recently emigrated to Canada. The horror stories we read about the difficulties in some areas makes us wary though.

Thorntrees
Title: Re: Access to GPs
Post by: oldsheep on May 08, 2015, 04:24:15 PM
thorntrees, you are so right. It's something people don't think about when they move, or not when they're younger. I've been lucky on my 2 moves abroad as got brilliant GPs but had I moved 2 streets away from here when we came to London, I'd have got the choice of 2 excellent GP surgeries. Both are in the neighbouring borough so out of my address's catchment area. They won't bend the rules on that for any new patients. You can choose your specialist and hospital now but not your GP.
Title: Re: Access to GPs
Post by: Taz2 on May 08, 2015, 05:03:28 PM
Blimey Taz, and I thought 60 a week was bad, that's an average of 90+.  No wonder suggestions are made now and again about charging patients for missed appointments.  I have to say I'm beginning to think it's a good idea!

S x

Me too! I guess it depends on the size of the practice as to whether 90 missed appointments per week is exceptionally high? Ours has twelve doctors each with 2,000 patients

Taz x
Title: Re: Access to GPs
Post by: SueRoe on May 10, 2015, 04:17:19 PM
Reading all these replies to my initial query makes me realise how lucky I am in the practice I'm registered with. I too, thorntrees, when considering whether or not to move house, have taken access to a decent GP surgery into account - especially as the area we're most likely to move to has a poor reputation for GP appts and a truly crappy hospital ! The trouble some ladies are having getting GP appts and prompt help/advice must be making a difficult time of life much worse.
Title: Re: Access to GPs
Post by: CLKD on May 10, 2015, 04:38:01 PM
We have stayed put as we have access to a good GP, a very good Practice Nurse and I love our Dentist  ;)
Title: Re: Access to GPs
Post by: croxie on May 14, 2015, 08:26:06 AM
I've got a 5 min walk to our local surgery, however "my" GP only works Fridays and sometimes I can make an appointment with her in beforehand, sometimes
not. Depends on who answers the phone at the reception (which is a bit weird).
Most of the time you call in the morning to get an appointment the same day though.

It happened a few times when I've had an appointment given to me a couple of days earlier that it's been cancelled by the GP and no one lifts a finger
to call and tell me. Always finds out from the receptionist when I get there. So if it's possible I rather call on a Friday morning and get my appointment
the same day. At least I know then if my GP is there or not that Friday.