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The fairly new telephone system puts me in a queue with annoying music but with frequent updates of where I am in the queue.
When they are extremely busy they do refer patients to an 'overflow service' elsewhere so that no one has to wait too long. When it is a visit to a nurse she can always pass urgent matters to the duty doctor.
All of the members of staff are helpful and do their best within the limits of their resources. They have been putting a lot of effort into getting new and better premises.