Thank you for your kind feedback. I see patients that are booked in for one of the following reasons: 1) GP has requested an opinion - so this may be a one off appointment for assessment and decide what are the next steps that GP can be advised on 2) Clients who are receiving input from the Community Mental Health Team and the appointment has been requested by a care coordinator for review of care and treatment. This appointment is usually once every 12 months. 3) Clients who are under my care in clinic for treatment of conditions for which GP is not able to (or cannot) prescribe and monitor treatment- in which case the appointments are every 6-12 months. However in all cases if a client wants to see me in clinic they can ring my secretary to request a clinic appointment. When i get the request for an appointment i will consult your case notes and either confirm an appointment or if it is more quicker telephone you to discuss the next steps to take. If i am away from my office for a meeting you can leave a message with my secretary and i will get back to you. If i am away on study/annual leave and you need to speak to some one please ring my secretary and ask to speak to the CMHT duty person; The duty person will speak to you by telephone, arrange to see you face to face if necessary and access your case notes to obtain any medical advice needed from consultant colleagues who are covering my absence.