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If you are a patient at the Firs, you are wondering why you are paying National Insurance. It's absolutely impossible to get an appointment and it's mainly an administration issue. The service at my VET is better than at the Firs. Nobody is ever picking up the phone at the surgery, staff refuses to book appointments in person and the online system isn't working or no appointments are available. Most recently, the whole online booking system changed, but no information was provided about the change. If you are able, by pure luck, to secure an appointment ( in average is takes about 9 weeks), the service is appalling and rushed through. The surgery is shocking and other surgeries in borough won't take new patients. The NHS is falling apart and if you want to see it in real life, visit the Firs in Walthamstow. 0 starts isn't low enough.