well in my old practice I was known by the doctors and was very satisfied with the treatment I got. They of course, knew me over the years and were aware that I only came to the doctors if I was absolutely stuck and couldnt manage without help. I had ovarian cancer, and had operation, 6 months chemo etc etc. I moved to another town during covid to a ground floor flat , trying to keep myself independant as long as possible . I had also done 10 years of 3 days a week as a hospital car driver volunteer, so am very aware of not wasting appointments or calling for unneccesary home visits. Due to the covid situation, no one was going to the doctors to sit there or anything. I had my prescription, am diabetic, and I had never met the doctors, nor had any contact with them. So, I had looked at a red mark near my ankle and wondered how that had arrived there, not had any knocks. Dismissed it but the next day my leg started to swell a great deal to the extent that I had to change my trousers to a very wide legged pair. It was a friday, so I decided that I needed to see someone, as I did not want to have to call out an ambulance over the weekend . So I rang and spoke to a receptionist who was most unhelpful. I insisted that I needed to see someone that day, and told her if the doctor looked at my record he would see how little I had visited the doctors. I refused to let her arrange for an appointment for the monday and so with a very bad grace she begrudgingly said that I could come. I have had my covid jabs as had my friend. I had to ask her to come and take me in her car, as I didnt think it was safe to drive my car. Got there and the receptionist said in rather a brusque manner , sit in the green corridor area. I asked where that was, as a) I had never been there before and b) my back was very painful as was my leg, and couldnt walk well or quickly. When the screen lit up with my name I got up and struggled to walk down a long corridor. The doctor came out of his door to see where I had got to. When I got into the surgery, I said first let me show you my legs. I sat down and pulled up the trousers. His face changed, and he said "Oh, just sit there I will be back in a minute" and disappeared down the corridor. Came back and asked how I had got there and i told him my friend had brought me. Thought he would then get me some antibiotics or whatever, but he said "I have rung the hospital and can she take you straight there" It turned out to be cellulitis, which I had not heard about and never met before. I ended up having to have 16 days of intravenous medication and if I had waited until monday things could have been even worse. As I went to go to the car park, I smiled at the doctor and said "I am pleased to have met you, sorry I had to be so insistent, but if you look at my records you will see that I never waste your time. Since then I have got cancer again, and when I get to see them the doctors and nurses here are very good, but partly due to the covid situation, I have never got to know any of the staff as I did with my previous surgery, and do not feel that there is any personal knowledge of me or my situation. So what they miss is things like, if I went to have a diabetic check up or have my eyes tested if there was something else that I hadnt noticed but as they knew me they would pick up on it.
I also get angry on other peoples behalf, because of the booking situation etc. Not everyone has a phone or a laptop , and can only walk in and book, or ring up from a phone box or have the money to use a mobile when you are hanging on for 10 minutes to be spoken too, but because the actual phone is answered you are paying for that call!!! So once again
those who have less get poorer service if they cannot afford to be on the phone for ages. There are those who have money and can choose to go private, if the NHS cannot help them in a short time, but that is still a form of queue jumping , because most of us do not have the possibility to do that, so we need to make the situation better for everyone. If we all had the money available and chose to spend it on other things that would be a different matter , but for so many of us we do not have that option. Sitting in a hospital A@E waiting area, you may see someone who came in after you but is taken in first. That is because the triage there is looking to see who needs the most urgent treatment. Would you want someone to bleed to death or stop breathing because you were in front of them in the queue.? Well we all understand that need, and so in the same way, someone having the money to go privately, is a legal possibility, but I feel it is wrong that money is the way that things are chosen over need. Everyone has their own feelings about this and I lived abroad and could have had private medicine through the firm when I was back in England , but it was against my principles, so I have had the possibility to do that, it is not that I was never in a position to be able to afford it.