I urge people to use the online approach. You can fill it in and you will get a phone call back from a medic, usually a doctor in my case. Be very specific and concise to help them digest it all. I think it helps them to have it written down - symptoms, times, background conditions. I heard the head of the NHS on Today (there was another woman so perhaps it was actually her) who said that "upstream" concerns, like the general health of the population, need to be addressed if we want a better functioning NHS. I don't disagree. Some folk have bad luck in terms of what they inherit from their father and mother (and their parents, going all the way back) and others don't even know they have bad lukc till it is too late, so losing weight, not smoking, being on the ball when it comes to STI hazards, sleeping well, etc. etc. are all within most of our remits.