Dear Carer Thank you for your message and queries. I hope you find my reply, below helpful. Unfortunately, up until this week, we have not been able to give 'proxy access' to parents to enable them to book online appointments for their children. New settings and guidance have been received from the clinical system provider so we can make this available in the very near future, once all data protection issues have been assessed and the system has been adjusted to allow this to happen. We will also be looking to open up online appointments to our nurse led services. Our Advanced Nurse Practitioners (ANPs) provide our first line, 'on the day' appointments to our patients, This enables our GPs to concentrate their skill and expertise on our complex and chronically ill patients. This helps to ensure our service can meet the daily demand we receive. All of our ANPs have direct access to a GP for assistance/second opinion if and when they require. With regard to your eczema medication, and the need to review you before medications are prescribed, this is standard procedure to assess your condition and ensure the right items are being prescribed for you/they still meet your needs. Many medications require review for repeat prescribing after a certain period of time/number of times they are dispensed. This is a safeguard and to ensure good care. I am sorry to hear of your son's situation, and am unable to comment on patient specific matters online due to data protection. However, if you would like to discuss this further as a complaint, please do make contact with me at the surgery either in writing or by email on birchingtonmcpm@nhs.net Kindest regards Hannah Price Practice Manager