Seeing a doctor in the UK
Book a GP appointment by phone, online or NHS App, use NHS 111 for urgent advice, and know when to go to A&E.
Overview
To obtain healthcare in Britain you need to know which door to knock on. The GP is the first point of contact for most non-emergency problems, and you do not need a referral to see him. Booking is done by calling the surgery in the morning (lines are crowded at eight) or via an online form or through the NHS App.
The appointment may be a phone call, video or in person depending on the case. For urgent non-emergency matters use NHS 111 or an Urgent Treatment Centre, and for life-threatening emergencies 999 and the A&E department. And the pharmacist can also give free advice on small problems. This guide explains booking, types of urgent care, what happens at the appointment, referrals and tests, your rights to an interpreter and privacy, and handling complaints.
Booking a GP appointment
There are three ways: calling the surgery (often between eight and half past eight in the morning for same-day appointments), or requesting online using an online consultation form on the surgery's website, or via the NHS App after logging in. Describe your problem briefly and clearly, since the receptionist may ask you the reason to direct you to the right person (doctor, nurse, pharmacist or physiotherapist).
- The ordinary appointment is about ten minutes, so arrange your symptoms beforehand and mention the most important.
- You can ask for an appointment with a female doctor if you wish.
- And if you need an interpreter ask at booking.
- And if you cannot attend inform the surgery to cancel the appointment so someone else benefits, since repeated absence may cause a problem.
Urgent care and emergencies
If you are ill and cannot wait for a GP but the case is not life-threatening call 111 (or visit 111.nhs.uk) and a specialist will assess you and direct you: a GP appointment, a visit to an urgent treatment centre, a pharmacy or a dentist.
- The Urgent Treatment Centres and Walk-in Centres in many cities accept patients without appointment for injuries and non-serious illnesses.
- As for the emergency department (A&E) it is for cases such as severe chest pain, difficulty breathing, loss of consciousness, heavy bleeding, stroke, serious fractures, large burns, and for babies with very high fever.
- Call 999 for an ambulance in serious cases.
- And in A&E they look first at the most serious, so you may wait hours for a less serious case.
What happens at the appointment
On arrival check in at reception or on the screen.
- The doctor asks about your symptoms and their duration, your medical history, the medicines you take and any allergy.
- Mention everything even if it seems small, and tell him any worries.
- He may examine you or measure your pressure and temperature or request blood tests, scans or samples, and decide the treatment: advice, a prescription or referral to a specialist.
- Ask about the meaning if you do not understand, and repeat what you understood to be sure, and write notes.
- Prescriptions are sent electronically to your chosen pharmacy.
- And if he requests sick leave ask for a fit note.
- And you have a right to someone accompanying you, and to a free interpreter.
- And speak frankly, since the information is confidential under privacy laws and is not usually shared with immigration.
Referrals, tests and waiting
To reach a specialist in a hospital you usually need a referral from the GP, who sends you to the appropriate clinic, and you may wait weeks or months depending on the case and area, so follow up and ask about the time.
- You can choose the hospital via NHS e-Referral in some cases.
- Tests such as blood tests are done at the surgery or a hospital, and results reach you via the NHS App or by phone.
- For chronic diseases (diabetes, blood pressure and asthma) surgeries offer periodic reviews.
- And free preventive checks are offered such as cervical screening for women, breast and bowel cancer and vaccinations.
- And if the condition worsens during waiting inform the surgery at once.
- And for teeth register with a dentist who accepts the NHS.
Your rights and complaints
You have the right to safe and respectful care, clear information about your treatment, to consent or refuse after understanding, to confidentiality, to a free interpreter, to a male or female doctor where possible, and to disabled facilities.
- If you are not satisfied with care speak first to the surgery, and you can submit a formal complaint to the practice manager or to the Integrated Care Board in your area, then to the Parliamentary and Health Service Ombudsman in England.
- Healthwatch and the Patient Advice and Liaison Service (PALS) help you free of charge.
- And in serious cases you inform the General Medical Council (GMC).
- And if discrimination is practised this is against the Equality Act.
- And remember that doctors are responsible for your safety, so do not hesitate to ask about anything.
Step by step
- 1
Call the surgery in the morning or use the NHS App.
- 2
Describe your symptoms briefly and state the most important.
- 3
Ask for an interpreter or a female doctor if you wish.
- 4
Bring your medicine list and questions to the appointment.
- 5
Ask for results and referrals and follow them up.
- 6
Use 111 when unsure between GP and emergency.
Documents checklist
- Your NHS number.
- Your medicine list.
- List of symptoms and questions.
- The referral letter if any.
- The exemption card if any.
Key vocabulary
- appointment
- symptom
- doctor
- nurse
- emergency
- referral
- test
- result
- pain
- fever
- waiting room
Useful phrases
- I would like to book an appointment.
- I have had a fever for three days.
- Could I see a female doctor?
- I need an interpreter.
- How long will the test results take?
- I am allergic to penicillin.
Phoning the surgery
Receptionist
Good morning, Oak Surgery. How can I help?You
Good morning. I would like to book an appointment with the doctor.Receptionist
What is the problem?You
I have had a bad cough and a fever for three days.Receptionist
I can offer you a phone appointment at two this afternoon.You
That is fine, thank you. I will need an interpreter.
Common mistakes
- Going to A&E for mild symptoms.
- Not cancelling an appointment you cannot attend.
- Hiding symptoms or medicines from the doctor.
- Not asking for an interpreter and misunderstanding.
Cultural tips
- Note your symptoms and their duration before the appointment.
- Call early since appointments run out.
- Ask the pharmacist about small problems first.
- Take a friend if you are anxious or do not understand the language.
Official links
Check yourself
Question 1 of 5
Whom do you call for urgent non-emergency advice?