Thanks for the update, Helen. I got the survey and thought it wasn't put together very well but better than nothing. I've been with DMC since it opened and have been alarmed at how their reputation has gone downhill over the past year or so. I am hoping that they can get the phones and appointments working. I have had to visit the surgery a few times over the past month and had two 30 minute slots - one for a medication review and one for the follow up visit. I've seen the pharmacist, a trainee doctor and a registered GP, all of whom listened to me, discussed my case and are following up on a couple of issues. I got an evening call from another doctor to discuss one of my test results. The reception staff have been really polite and helpful so I am satisfied with my treatment to date. I also know that I am lucky that I have been given follow up appointments and haven't faced the stress of trying to call the surgery for a same day appointment. DMC do have a text reminder service and you can text back to cancel so there is no excuse for just missing an appointment if you have a mobile phone. You can also get through on the phones fairly quickly outside the peak 8 - 9 times. I've chatted to a number of colleagues who live in London and the majority of them have similar tales of engaged phone lines and 4 week waits for appointments at their local GP surgeries. A number of them say that they just go into walk in clinics if they need to see someone the same day. One thing that has improved is the ability to change local surgeries without any comeback. Time had it that you would be given the third degree if you asked to join a another surgery in the same catchment area. There was always an assumption that you were 'difficult' and I am sure there were cases where surgeries refused to register patients that did this.