You have to play the system as it is now.
You really need to phone if you want see a Doctor once the practice opens.. DH did that the other week, phoned on the dot of 8am, seen by 9.45 result!
I put in a online referral, for a skin problem it was not urgent but needed sorting. Within 2 hrs I got a message to ask if I could send a photo, I did got a reply I was told I had a telephone interview in 7 day, OK.
Phone call came, Doctor said he needed to really see it for himself (obviously? bonkers sending a photo but...?) on chatting to him, he asked any chance could I pop in Now! Or later that afternoon? Yep now.. I jumped in the car, seen straight away all sorted in less than 30 mins from the original phone call.
Tbh it's all a ridiculous but it worked for me this time but I can't see how this system would work for some elderly folk.
If I had been asked to come and see the Practice Nurse or one of the Paramedic they all employ now, I would have taken that as its a gateway in, they get the Doctor on site in for issues they can't sort.
My practice has a terrible reputation they are a big group, on this occasion we both gave it the thumbs up.