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I am sorry to comment that nothing is improving, 40 minute wait to speak to reception, never see the same doctor or nurse, do feel at times no one really cares.
Appointments changed or cancelled last minute, it is always easier to go to surgery to make appointment.
Relative of mine who has pace maker, telephoned by doctor, told to ask to see a doctor, at next day appointment with nurse, told at reception not possible ...Ambulance called to surgery to take relative to infirmary!!!!!!!!
Have been in queue at North Carlisle when an elderly gentleman was trying to make appointment, he was not treated at all well, no respect or care shown to him, he was confused and ended up walking out.
Well pharmacy online ordering is very good, Pharmacist most helpful.