A summary of the 33 responses to my original post is: The doctors are good ? tick Admin, including receptionists ? not at all good. Very urgent appointments are dealt with in a satisfactory way ? good, tick Routine and follow-up appointments are not at all easy to obtain ? not good. DadOf4, you have hit the nail on the head with just two of your statements: ?FHR has decided to "play" the government targets by differentiating between emergency and non-emergency appointments.? ?FHR has a handful of Doctors (highly skilled professionals, but customer service amateurs) and admin staff, struggling to keep their heads above water and probably with no experience in improving processes, etc ? Separately and long way from London, a family member is a young GP who knows his stuff very well, but hasn't got a clue about how to run a business. He is in two minds about staying in the UK and whatever he does I am urging him to get some business / management training. Medical training does not cover management and then one day ? because you are a good doctor you become a partner rather than a salaried GP. That's when the trouble starts ? the government expects you to be a GP and simultaneously run a business with a considerable turnover when you've never so much as run a market stall in the past. I still have some slight sympathy for the predicament of the partners in FHR but it's been shown that they need help and they should spend some of their not inconsiderable income on bringing it in. DadOf4, maybe you and I should offer our help !