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European cardiac guidelines

Dr James Gillgrass says Choose and Book software is 'clunky' and will cause a huge increase in GPs' workload unless it undergoes a major rewrite.

His practice in Croydon is a pilot site for the software, but at the moment can only offer a choice of appointment times at one hospital.

Just generating the basic information to enable patients to book an appointment themselves takes several minutes, he said. Further problems to have arisen include delays logging on to the national spine, which holds patients' demographic data, and with data on the spine overwriting the practice's information if it differed.

Dr Gilgrass, joint chief executive of Sussex and Surrey LMCs, said his practice has had to upgrade its IT several times. 'We are not at all happy,' he said. 'It's just clunky and we haven't even got to choice. Potentially there could be some benefits but I suspect it will take a lot of rewriting.'

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