Thank you for your comments. NHS web sites state that if you suspect you may have a UTI then see a doctor. This is what your Aunt was informed . As your Uncle has dementia and is house-bound he would have been seen in his own home. From what you have said I believe that your Aunt may not have mentioned those facts to the receptionist. If she had, a home visit would have been arranged. I can only apologise if our receptionist failed to pick up on this. You state 'Regular urinary testing is crucial in the elderly' Please see the following extract from the British Medical Journal - "Do not use urine dipstick tests to diagnose urinary tract infection in older people; if they are performed at all, only a negative result should be considered useful in excluding a urinary tract infection In patients who are able to provide a history, urinary tract infection should be diagnosed only in the presence of a combination of at least three acute urinary symptoms or signs, such as dysuria, urgency, frequency, or suprapubic tenderness In patients who are unable to provide a history, urinary tract infection should be diagnosed only when evidence exists of acute inflammation (for example, fever/hypothermia or raised white cell count or C reactive protein) associated with bacteriuria on urine culture and no other more likely cause of their acute illness exists Asymptomatic bacteriuria is common in older people; avoid treating bacteriuria in patients with non-specific symptoms that cannot be attributed to urinary tract infection, as this confers no benefit and may cause harm " Other practices may well 'dip stick' urine on request, however at this surgery it is not considered good practice. I hope that your Uncle has now had a home visit, but if not please contact the surgery to arrange one. David Clippingdale Practice Manager