Appointment procedures, Waiting list, delays in follow up

Long waiting lists cause patient anxiety and lead to more GP appointments. Time can be wasted trying to determine waiting times. There is pressure on GPs from patients to expedite appointments.


Some referrals are downgraded from urgent without explanation to GP or patient.


Delays occur in cross border referrals (between different health boards or into England whilst it is determined who is financially responsible or whether there is an agreement in place.


Patients are being referred back to the GP as not meeting the criteria for a particular clinic.


Follow up appointments may be postponed leading to further appointments with general practitioner or delayed review of treatment plan.


Patients on hospital only medication have difficulty getting their medication if follow up delayed.


Patient appointments are classified as DNA (did not attend) when they phone up and cancel appointments for legitimate reasons. Patients sometimes have difficulty getting through to appointment clerks so are unable to seek a postponement or subsequently explain a DNA. This may necessitate the GP making a new referral.


Patients on hospital only medication have difficulty getting their medication if follow up delayed.


Patient appointments are classified as DNA (did not attend) when they phone up and cancel appointments for legitimate reasons. Patients sometimes have difficulty getting through to appointment clerks so are unable to seek a postponement or subsequently explain a DNA. This may necessitate the GP making a new referral.


Partial booking appointments have confusing letters for those who have reading, visual impairment or language difficulty.