j4: (blade)
[personal profile] j4
I've been putting off making a doctor's appointment for a while. I'm like that about doctor's appointments. I find the process stressful and I rarely have much hope that it'll do any good anyway.

But this morning I finally phoned the practice, and said "I'd like to make an appointment please". "Certainly," says the receptionist. "Could I ask what the nature of the problem is?" I say as politely as I can (which at 8:30am unfortunately probably isn't that polite) that I was hoping to talk about that to a doctor, not a receptionist; and she says something about how they need to know the nature of the problem so that they know who to give me an appointment with, and when to fit me in. (This is a far cry from when I actually asked the receptionist if I could see a doctor who specialised in depression, and was told rather patronisingly "They're all general practitioners, I think you'll find that they're all knowledgeable about that".) So I express surprise at this "new system" and am told that it is "surgery policy" and has always been like this. "Well, it hasn't any of the other times I've phoned up for an appointment..." Silence, before she launches back into the script.

Anyway, I make it quite clear that I don't want to talk about it, and eventually she asks for my name and phone number and says that somebody will ring me back to "advise me of an appointment". Huh? Wouldn't it have been easier for them to just give me a bloody appointment? Obviously not.

10 minutes later, the phone rings. It's the nurse from the practice. "What seems to be the problem?" I don't believe this. "I'd really rather not discuss it on the phone." More nonsense about how they have to know what the problem is otherwise they can't give me an appointment.

By this time I've had enough. "I think it's best if I just cancel the appointment." Suddenly everything's different. "Do you want to see a doctor or a nurse?" "I'd like to cancel the appointment." "No, no, we can make you an appointment, do you want to --" "I'd like to cancel the appointment, please." I have to repeat this six times to actually get through to the woman, who by this time is just blethering about how I can see anybody I want to see and she'll make me an appointment. When she finally gets the message, her final "O-kay, THANK you, GOOD bye" sounds like a primary school teacher trying to resist strangling a particularly annoying small child.

I don't like phones. I do not want to have a phone conversation about something that's a bit awkward to talk about anyway. All I wanted was 10 minutes in which to talk to a qualified doctor, and I should not have to threaten to cancel the appointment to even be offered that. I don't want to deal with these people if that's the new modus operandi. (Except, of course, it's not new; it's always been like that... and we have always been at war with Eurasia.) It has become steadily harder and harder to get an appointment at this practice over the last two years, and this is just the last straw.

Yes, I probably should have just given in when they started offering appointments, but frankly I just didn't want anything to do with them by that point. And the really worrying thing is that I know there's no way I could deal with that system if I was actually ill (rather than, as at the moment, needing a doctor's advice about an ongoing condition) -- I wouldn't have the energy to argue with them.

I wonder how easy it is to change practices. <sigh>

Update: Very easy. :-) Went to the practice that [livejournal.com profile] sion_a is registered with, said "I'd like to join", they said they weren't taking new patients (but would give me the address of a practice nearby which was); I said my partner was registered at their practice, and they said "Oh, that's okay then, we take family of existing patients". Filled in the forms, and that's it. And have made an appointment for first thing Monday morning. (They're happy to do appointments up to 6 weeks in advance, which is really very civilised.)

Date: 2003-07-17 01:43 am (UTC)
From: [identity profile] wechsler.livejournal.com
I wonder how easy it is to change practices.

My understanding is that it's very tricky to change doctors if you've not moved away from the served area.

However some of them do seem to specialise in making it hard to book appointments - I believe [livejournal.com profile] dennyd's require him to call within a half-hour slot once a week... (might - but I'm unconvinced - be once a day, but either way, the phone lines are always solidly engaged for that half-hour)

Date: 2003-07-17 02:45 am (UTC)
From: [identity profile] j4.livejournal.com
My understanding is that it's very tricky to change doctors if you've not moved away from the served area.

Ah, that bit shouldn't be a problem -- I'm only just still in the right area for the current practice now, but I stayed there when I moved because it was easier than faffing around trying to change. I'm firmly in the middle of the area for a different practice (the one [livejournal.com profile] sion_a goes to).

Think I will go and try to sort that out now actually.

Date: 2003-07-17 03:40 am (UTC)
taimatsu: (Default)
From: [personal profile] taimatsu
If you have an NHS medical card all you have to do (in theory) is take the card to the reception of another surgery accepting patients. If they do ask you for a reason (though I don't think you have to give one - at least, that's what it says on my card) you could always say 'My previous regular doctor at X practice has cut down his hours, so that it's now more convenient for me to change practice rather than travel X distance for a doctor I don't have an association with.' Or something lke that. But you don't have to give a reason.

I've been lucky, in that I have had the same doctor for for years and only once had to see someone else. I think they ask you the reason for the appointment on the phone because if it's 'I need a edical checkup for insurance reasons' it costs something, and if it's 'I want contraception' it's a job for the practice nurse, and that sort of thing. I've not had that problem, but then I do tend to tell the receptionists what the problem is (in brief no-detail terms). At least once, though, I haven't done that (because it really was too embarrassing) and I don't think they asked me.

I'm not looking forward to changing doctors. Dr. Ferguson has been so good, and I've got comfortable with her. I don't know how I'm going to find anyone like that again.

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