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GP Wait Times - your experience please….

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Comments

  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Off to the vet with my cat now.

    Got an appointment within 24 hours.

    Animals get better healthcare in this country than humans do.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]




  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    To be honest, this thread is not about hospital or consultants, it's about GP's, but has gotten sidetracked.

    You asserted in your first post "if you are sick you'll be seen in a day or two" when experience has shown this is untrue.

    Certainly in my surgery where the stock response is "we've nothing this week" even before they ask why an appt is needed, and even if you ring first thing Monday morning.

    End of.



  • Registered Users, Registered Users 2 Posts: 12,171 ✭✭✭✭Jim_Hodge


    We can sometimes get same day appointments but it can be the next day, depending on when we phone in. It's a large practice in a large town, with three doctors and three nurses. If you were in urgent need they'll usually fit you in within a few hours.



  • Administrators, Society & Culture Moderators Posts: 15,662 Admin ✭✭✭✭✭Big Bag of Chips


    In your GP surgery maybe. With my GP I have never waited longer than 24 hours for an appointment unless it was something routine. Often even being seen on the same day.

    You asserted in your first post "if you are sick you'll be seen in a day or two" when experience has shown this is untrue.

    I'm surprised you can speak with such authority on my experience with my GP practice!!



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  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    Re a private women’s health clinic, last autumn I had a complex and very unusual situation, and approached the clinic, describing my situation in a detailed email. It was triaged by a gynae nurse specialist who got me quickly to see the consultant best suited to my predicament, and my goodness was he insightful and quickly told me the bad experience I had in a public hospital was due to their failure to perform an ultrasound ahead of a hysteroscopy, and he was able to see I had suffered a uterine perforation. I had just been discharged after an episode of peritonitis following hysteroscopy, the cause of which they had not explained to me. This is a very good example of a situation where a person with expert medical knowledge triaged me. I now attend this excellent, lovely, and very pro-patient consultant.



  • Posts: 0 [Deleted User]


    Slaintecare is currently in the process of being rolled out, the new EHR system with a Medical record app coming online this year,

    It includes development of a national patient app, the conclusion of a community health-based record system for the Enhanced Community Care Programme as well as concluding procurement of a National Shared Care Record.

    The national e prescribing services became available where I am recently (according to a text I received from my gp practice not too long ago) which means if you have a prescription you no longer have to attend your GP to get a repeat and can do it via the hub/app on your phone.

    https://www.rte.ie/news/politics/2024/0521/1450297-ireland-politics/

    With all the sh'tty news in the world this stuff kind of went under the radar, but it really should benefit everyone from patient to medical staff.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Only when you made that assertion, you didn't specifiy "in my GP practice".

    So right back at you in regards to speaking with authority on any practice except your own, and there are plenty of posters here who are also experiencing long delays in accessing their GPs.

    This thread went sideways, being pedantic is attacking the poster, I am still reviewing the rest of the thread

    Grem

    Post edited by Gremlinertia on


  • Administrators, Society & Culture Moderators Posts: 15,662 Admin ✭✭✭✭✭Big Bag of Chips


    The title of the thread is 'your experience please'.

    I posted based on my experience.

    I'm not disregarding anyone else's experience. I work in the health service. I speak to people every day who can't get a GP appointment. I also speak to people who can't even find a GP to register with.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    And I posted mine, which you somehow felt you were qualified to contradict.



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  • Posts: 0 [Deleted User]


    I think there should be some clarification here, both BBOC and Dav10 are sharing from their respective places of work, one is a dentist and the other admin in a hospital setting. They are very different set up to a gp practice. I'd go so far as to say that even within a hospital setting the disparity between disciplines varies greatly.

    For example, a dental clinic is generally going to be dealing with routine procedures, the majority of which are probably not life threatening. Cleaning, extractions, fillings and maintenance at a guess would be the primary gist of appointments being made and could with great ease be determined on a case by need basis by a practice receptionist.

    An admin in a hospital setting may be working with acute conditions and the need for discrepancy would be of a higher tolerance. The requirements from department to department would be dependant on the specific area, oncology clinics leave little wiggle room compared to orthopedics schedules for example. For the most part all of these conditions have been 'triaged' in a sense as there is a general diagnosis that's being referred for.

    A GP practice is pretty much a point of referral, where the range of issues can be a slight as a head cold or congestion that is causing someone to miss work, to genuine health concerns that need to be assessed for further diagnosis. The scale of which could not be determined by a receptionist over a phone call. A set of parameters are most likely set out by the relevant practice in order to maintain a surgery schedule and nothing more. Hopefully the roll out of the new healthcare apps will help ease the congestion in GP surgery's for basic things like work certs or repeat prescription and the new EHR system will make transitions between care services easier and swifter.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    Considering @Big Bag of Chips has first hand experience in booking appointments for patients, she is well qualified to contradict your nonsense.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    @Big Bag of Chips has no experience of my GP surgery, so you can stop your nonsense.

    The defensiveness is off the scale.



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    You expanded your viewpoint to a generalisation about the competency, and acceptability of Receptionists dealing with appointments. It isn’t defensiveness to point out that you are misinformed.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    I email my GP when I need new prescription every 6 months, he sends to chemist. Usually works out well. For certain controlled meds repeat prescriptions are not possible, one must attend doctor.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Not misinformed at all. There have been plenty of accounts and more than one thread on the subject over the last few years.

    In relation to my own GP surgery, their online reviews say it all, and the two most repeated comments are waiting times, and issues "getting past" the receptionists, to actually see a doctor.

    I've been actively looking for a new GP for coming up to three years now. However, everywhere is full. Hopefully I won't fall seriously ill in the meantime. I wouldn't trust my GP's receptionist to think it serious enough to let me see a doctor.



  • Posts: 0 [Deleted User]


    No receptionist is qualified to make a judgment call on anyone's health, I suspect that those that do have led to many cases of untimely death or undiagnosed illness. You're a dentist, not a GP.



  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    This morning I requested a GP appointment within a week or so, specified it was non urgent, getting meds for travel & a few things like that. I was offered next Tuesday, perfect.



  • Posts: 0 [Deleted User]


    I email my GP when I need new prescription every 6 months, he sends to chemist. Usually works out well. For certain controlled meds repeat prescriptions are not possible, one must attend doctor.

    not sure how it works, afaik it used to be a case of every 6 months would require a check up either way but instead of using email to your chemist you can now order it via Pippo? Web based GP app.

    (like I've said, I've been out of the healthcare system for almost a decade so this might be the norm)



  • Registered Users, Registered Users 2 Posts: 17,873 ✭✭✭✭banie01


    In a weird coincidence my GP practice rang me this morning shortly after posting the above, regarding BP readings I had collated & submitted. The nurse rang back and said the diastolic was a tad high and I needed a 24hr monitor.

    I was in with her at 12 and am now strapped for the next 24hrs, so I know many are struggling with accessing GP services and with wait times but, I can't fault my practice.



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  • Registered Users, Registered Users 2 Posts: 2,492 ✭✭✭tohaltuwi


    It would be interesting to see a broad survey across the country as to how long people have to wait on GP appointments, but it seems to vary quite widely from practice to practice. Being seen same day is pretty rare from what I hear. When one cannot see a GP for a week, with a nasty infection that could be got under quick control with an antibiotic, well that is going to drive people to a hospital emergency department and unecessarily fill those places.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Had similar at my last long term lllness checkup with the practice nurse, in June.

    Given a date for 24 hour BPM monitor in mid August. 🤷



  • Posts: 14,708 ✭✭✭✭ [Deleted User]


    Again, practicing Dentist, I also have a medical degree.

    Rather like Ezeoul, you appear to think the Receptionist makes the judgement call of their own volition, don’t fall for the nonsense she is posting. The call is made by the GP/Consultant, the Receptionist merely puts it into practise.

    Just because there are a few threads with disaffected patients complaining about how GPs schedule appointments based on urgency, which requires information being provided, doesn’t mean they are correct. Receptionists have to deal everyday with the Ezeoul’s and Strumms of this world, it takes patience and tolerance, but remember this, someone who asks nicely rather than being a prat, will likely be looked on favourably for non urgent appointments.



  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Agreed. I also know from comments made at my last visit to TLC-Doc, that they are aware of the number of patients from my GP practice seeking appointments with them.

    Twice since Christmas I have had to go to them for antibiotics for chest infections, when my surgery would not give me an appointment in less than ten days.

    My brother had to go to A&E last week after being told it would be at least ten days before he would be seen, it turned out he had some kind of blood clot forming in his leg. (eta) to clarify, he took the appointment offered, but after two days, went to the hospital due to worsening pain.

    I am seriously just fed up with them at this stage and have no confidence in them. I'm not that old yet, (mid-50s) but do have some health conditions, (inluding respiratory) and the thought of getting older with the standards of care at my current surgery worries me greatly.

    Post edited by Ezeoul on


  • Registered Users, Registered Users 2 Posts: 5,863 ✭✭✭Deeec


    With respect to you I dont think you fully understand what is happening. For example last month I had to call our GP for our 84 year old mother who had an ear infection. She is prone to ear infections and if left untreated it can lead to other issues and has in the past led to hospital admission - so when she gets it she needs an antibiotic quick. I explained the situation to the receptionist and said she was in alot of pain but no she wouldnt give her an appointment or indeed let me chat with a GP to get a prescription. This was 9am and my mum felt she couldnt wait to see out of hours GP after 6pm so we had no choice but to head off to A & E ( thats a whole seperate thread on what happens there). Unfortunately this is not the first time we have had to do this. So this receptionist 100% made the decision soley that my mum did not need to see a GP urgently despite her age and having an infection that was causing severe pain. If I had been allowed to speak to a GP or indeed she had spoke to a GP I would feel that at least they would have wrote a prescription and we wouldnt have had to go tthough the trauma of an A & E visit to just get a prescription for an antibiotic. Your telling me that this procedure is fair - well its not at all. This receptionists response is just a blanket NO to everyone and her advice is always go to A and E. In fairness the other girls that work there a bit more helpful but sadly this wan seems to be on receptionist duties alot.



  • Registered Users, Registered Users 2 Posts: 5,863 ✭✭✭Deeec


    Im envious of you. That sounds like a GP service that really cares about their patients. You are so lucky.



  • Registered Users, Registered Users 2 Posts: 17,873 ✭✭✭✭banie01


    It really is a very patient orientated practice IME. I have always felt well looked after with them. I find that very reassuring and supporting. I am sorry that others seem to have such poor experiences with other practices.



  • Registered Users, Registered Users 2 Posts: 278 ✭✭balanced24


    Same for myself. 8 days, two days later in A&E on verge of heart episode. They didn’t use phrase heart attack I can’t remember but it was very serious and I’m on tablets now for life. Scary experience that could have been avoided. Doctors seem to have forgotten referred pain and Sally the receptionist doesn’t want to hear about my dingly dangly bits swollen to the size of a warermelon * just for illustrative purposes 😂



  • Registered Users, Registered Users 2 Posts: 7,992 ✭✭✭_Whimsical_


    I have to say I've been really disappointed by the level of access to my own GP. My mum also goes there too. She was extremely ill a few weeks ago, in so much pain she couldn't take a proper breath. Rang the GP at 9 in the morning, no appointments, receptionist unconcerned by the gravity of the symptoms offered to have her ring back next morning at 9 to hopefully get in quicker and nab an emergency appointment, even though it clearly couldn't wait. I rang around a few surgeries to see if anyone had anything free, eventually 1 receptionist said she just tells all emergency patients to go to a new walk in clinic the other side of town so we went there and were dealt with efficiently. This seems to be the future of acute medicine like infection etc - go to one of these one-off clinics, let GPs deal with chronic non-acute stuff that can wait a week.

    While this is a good option in cities it really isn't great for people on medical cards and low income. We met a Ukranian lady there stunned that I was taking my mum out in this state and not calling a Dr to the house. Said she'd never experienced this kind of poor healthcare in Ukraine. She was there on very minimal income though having to pay for her son to see someone and it felt very wrong.



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  • Registered Users, Registered Users 2 Posts: 4,781 ✭✭✭Ezeoul


    Appointments shouldn't be "granted" based on how nicely you ask for them. FFS.

    I am well used to dealing with the public in my own job, both over email, the phone and face-to-face, so would never treat a receptionist rudely. Unfortunately, that does not mean I always receive the same courtesy in return.

    I've sat in the GP's waiting room, 10 feet away from them and overheard them discussing patients, heard them being really rude and nasty to callers on the phone, and also outright lying to them about appointment availability (one caller told here was no appointments and ring back next week, and another told they could come in on such and such a date). There is one in particular who is definitely on a power trip.

    I did raise this with the doctor when I got in to see them, and they said they'd have a word, but apparently nothing has changed. In hindsight, the GP probaby just told them to lower their voices when discussing patients.



This discussion has been closed.
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