On a positive side to the Melbourne Practice I am glad they've finally decided to extend surgery hours AND offer a session on Saturday's. For those who warrant a physical appointment (I assume deemed necessary by the doctor) and who find getting time off work difficult this is a God send. Also, for things like repeat prescriptions that require a check up at the same time it can be difficult to do when your work day is 9-5 with an hours journey either way meaning you care unable to get to the docs under the previous surgery times. Yes I appreciate if your health really matters to you then you should drop everything but not everyone in the world can (without risk of losing your job and all that) With regards to telephone appointments yes I can see it useful for the more simple condition but have my doubts on the accuracy of diagnosis. On many occassions I have come across stories, not in particular from the Melbourne practise GPs advising the most strangest and also "stupid" suggestions for dealing with children - one example being my very poorly nephew at the time - suffering a severe case of tonsilitus and a mean tummy bug, being constently violently ill for over 2 weeks (he was practically wasting away to nothing) and seriously dehydrated was advised by the doctor to try porridge oats in his bottle and lots of toast and the classic line "if he doesnt improve come back to us in a week". Now not only did this seem cruel as he couldnt swallow anything solid but also pointless and demonstrated the doctors lack of knowledge of the child - he's well past bottle years AND had already been to the docs to seek advice on many ocassions already! Luckily the mother had more sense and wasnt happy wiv the suggestion and took him A&E where they were shocked by the doctors advice. Another example I can think of personally was a couple of years ago with the Melbourne Practice, I had a very bad case of tonsilitus myself. I had been feeling off for a good few weeks before hand and suffered from a heavy cough. I had tried to get an appoinment in the earlier stages of illness but had difficulties finding a time (having to book 2 weeks in advance!) and when I did manage an appointment they kept me waiting over 2 hours before telling me they forgot to book me in. By which point I had to cancel. Things got worse for me where I lost my voice - great for trying to use the telephone to make an appointment. I had to get someone else to make the call for me. The receptionist was very unhelpful saying all emergency appointments were taken for that day and I'd have to call back in a few days. By this point I had had enough and went to the surgery myself and "demanded" to be seen. I waited an hour and was finally seen by a doctor who was quite concerned with my condition after peering down my throat and saw my tonsils attaching themselves to other bits in me throat (apologies I'm not too clued up on medical bits and bobs) and asked me why I hadn't come sooner as now I was at the stage where hospital might be necessary. Explaining the whole thing she was very muched shocked by the whole thing but said as a locum she didn't have much power in the surgery and could only apologise. Obviously I recovered well. My point here is how can a doctor properly assess something like that over the phone? The UK has the reputation of hypercondriacs and it is all to easy for Doctors to assume a condition isn't as bad as it sounds from the person complaining. Is this not inviting more serious health issues to arise?