Letters: Our Byzantine healthcare system prevents GPs from doing their job

SIR – The NHS wants to do everything on the cheap, with the result that we have an overstretched, inaccessible system that is deteriorating year on year (Leading Article, December 23).

One of the problems in primary care is the number of non-clinical layers that patients have to navigate in order to see someone capable of assessing their problem. The patient is often frustrated by the time they reach a GP, having been inadequately assessed by NHS 111, nurse-led urgent care centres, triage, pharmacists and paramedics.

When the patient does get to see a GP, the service they receive is second best. There is too little consultation time, and insufficient resources for near-patient testing. Long waits…