Report your story

48 hour GP reporting form

First of all you should know that we'll be using this information in complete confidence. Although we collect your name and as much of your address as you feel comfortable providing, none of this private information will be passed onto your GP, Primary Care Trust or the Government. Our purpose is merely to measure the true extent of the problem and use the data to press the Government to understand the reality on the ground.

This form should be used by anyone who has recently tried and failed to receive a GP appointment within 48 hours.

      1. Please tell us which GP Surgery you tried to book an appointment with:
        Name of your GP Surgery
 


2. If you have now been successful in getting your doctor's appointment,
how long did it take from when you first called?:

Between 48 hours and 72 hours (i.e. 2 to 3 days)
 Between 72 hours and 96 hours (i.e. 3 to 4 days)
 Between 96 hours and 120 hours (i.e. 4 to 5 days)
 Over 5 days (please specify)

 

3. Please comment on the background to your trying to get an appointment.
For example, what time of day you called and how many attempts you had
to make.


4. About you

First name:

Surname: 

Address:

Email:

Telephone:

 

5. Could you tell us where you heard about this website?
 

6. Please indicate whether you are happy for your comments to be used
as part of this campaign or whether you would prefer to keep them
completely confidential.

Yes, by all means use my comments.
 No, please keep all my comments confidential.


 

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