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Advanced access and pre-booking can work

Concerning your article on advanced access and pre-booked appointments (September 29): in my five-partner, two-site practice we offer full advanced access but to achieve this we identified there were 1,100 appointments that produced our ­ and typically among GP surgeries ­ waiting time of about seven to 10 days.

We needed to provide same-day appointments and complete those 1,100 pending consultations to remove any 'waiting list time'. We achieved this in three months, although our individual surgeries were at times very large.

Following this extra work on our part we have been able to provide true advanced access with pre-booking.

It can be done, but you need good co-operation and very hard work to appreciate that there is light at the end of the tunnel.

Dr Philip Morgan

Northwood

Birmingham

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