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Our surgery has a triage system whereby the receptionist asks why you wish to see the Dr. 

The receptionist then makes a decision about whether or not you need an appointment

When Steve developed gout he phoned and spoke to the receptionist, he was then offered a telephone appointment. 

After the telephone consultation he was offered a face to face appointment. 

This time because he wants to discuss his stroke recovery he can't have an appointment of any sort. The advice is go away and live with it.

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