Patients in the UK are increasingly struggling to find their way through the intricate pathways of the National Health Service (NHS), with health leaders expressing concerns that the current system is not only confusing but also demoralising. A recent report from the Royal College of General Practitioners (RCGP) and the Patients Association sheds light on the pressing need for the government to simplify access to healthcare services.
The Complexity of the Current System
The report characterises the NHS as a “complex web of organisations,” which has made it increasingly difficult for patients to secure the care they need. Many individuals report feeling overwhelmed during appointments, hampered by long waiting times, and frustrated by lost referrals. Furthermore, patients are burdened by extensive administrative tasks that complicate their access to healthcare.
The findings highlight that both patients and general practitioners (GPs) are navigating shared challenges within this convoluted system. “Accessing the NHS often feels like a maze of dead ends and detours,” the report states, underscoring the urgent need for reform.
Patients Left in the Dark
Feedback from patients indicates a widespread sense of uncertainty regarding the status of their referrals. Many express feeling “left in the dark,” unsure whether their requests for specialist care are being processed. The RCGP and the Patients Association have called for a more transparent system that allows patients to track their referrals, a move they believe would significantly enhance the patient experience.

Currently, there are over 6.17 million individuals waiting for specialist care in the NHS. This staggering figure illustrates the pressing nature of the problem and the need for actionable solutions.
A Call for Action
In her inaugural interview since taking office, Professor Victoria Tzortziou Brown, chair of the RCGP, remarked, “General practice is the front door to the NHS, and what many patients have told us is that it feels like they are opening the front door to a maze.” She emphasised that patients frequently experience confusion and fragmentation in their care, which can lead to heightened anxiety about their health.
GPs share similar frustrations, often spending up to 30 per cent of their time managing referrals and paperwork rather than focusing on patient care. “This can be very frustrating for both patients and GPs,” Professor Tzortziou Brown added, underscoring the need for collaborative efforts to address these challenges.
Recommendations for Improvement
The report outlines several recommendations aimed at making the NHS more navigable. Professor Tzortziou Brown noted that the proposed changes are not overly radical and do not require extensive restructuring. “We are advocating for the NHS to feel easier to navigate so that patients can receive the right care at the right time,” she explained.

Rachel Power, chief executive of the Patients Association, voiced similar sentiments, stating that patients desire timely appointments, adequate time to discuss their health concerns, and a streamlined process that allows them to track their referrals. “They want to be equal partners in designing the services they rely on,” she urged, advocating for a system that prioritises patient needs over organisational convenience.
Government Response
In response to these concerns, a spokesperson from the Department of Health and Social Care stated that the government is committed to improving access to the NHS. They highlighted recent initiatives, such as recruiting over 2,000 GPs in the past year and providing £1.1 billion in funding to bolster primary care services. The spokesperson asserted that these efforts are aimed at ensuring high-quality, continuous care for patients.
Why it Matters
The ability to navigate healthcare effectively is crucial, particularly when individuals are facing health challenges. The current complexity of the NHS not only creates obstacles but can exacerbate anxiety for patients already in vulnerable situations. Simplifying access to care can lead to better health outcomes and enhance the overall patient experience. As health leaders advocate for a more user-friendly system, it is imperative that the government listens and acts, ensuring that no one feels lost when seeking the care they desperately need.