Thank you for your review of the practice. I am sorry that you are unhappy with the telephone triage we provide. Although we have offered telephone consultations for many years telephone triage was introduced initially for all patient queries last year in order to maintain a service through the pandemic. Although restrictions are being lifted there are still lockdown rules in place in many areas for public safety reasons. The very nature of the work we do means potentially poorly people who may have Covid are attending our surgery and we therefore need to maintain measures that protect patients and our own staff and for this reason we are only seeing patients who the clinician feels should be seen face to face. Furthermore this approach is likely to continue beyond the pandemic as NHS guidance expects GP Practices to increase the amount of remote consultations offered in the future. We have always continued to see patients face to face including during the height of the pandemic and clinicians will always see patients face to face when they feel it is clinically appropriate. I’m sorry that you believe the NHS is not fit for purpose. The staff here have worked tirelessly throughout the pandemic working longer hours and dealing with more patient contacts than we did pre pandemic. Our own staff have been ill with Covid as we accept the heightened risk of exposure in order to maintain a service and alongside that we have delivered the most flu vaccinations we have ever given in a year as well as provide almost 20,000 Covid vaccinations from the Montefiore centre to date and expect to continue doing so into the Autumn. East Cliff Practice