Patients are increasingly finding themselves lost within the complexities of the NHS, prompting health leaders to advocate for a more straightforward approach to accessing medical services. A recent report from the Royal College of General Practitioners (RCGP) and the Patients Association highlights the urgent need for reforms to address what many describe as a “confusing, frustrating, and demoralising” experience when seeking care.
Navigating the NHS: A Complicated Journey
The report outlines how the current structure of the NHS resembles a “complex web of organisations,” making it difficult for patients to secure the care they need. This complexity leads to a range of issues, including rushed appointments, lengthy waiting times, lost referrals, and overwhelming administrative processes. The findings suggest that both patients and general practitioners (GPs) are grappling with similar challenges in navigating this convoluted system.
“Accessing the NHS often feels like a maze of dead ends and detours,” the report states, reflecting the sentiments of many patients who have voiced their struggles. Individuals often report feelings of being “left in the dark” regarding the status of their referrals, contributing to a sense of uncertainty and frustration.
Recommendations for Improvement
In response to these issues, the RCGP and the Patients Association have proposed a series of recommendations aimed at making the NHS more accessible. One significant suggestion is the implementation of a tracking system for specialist referrals, allowing patients to monitor their progress and alleviating some of the anxiety associated with waiting for information.

Currently, the NHS faces a staggering backlog, with over 6.17 million patients awaiting specialist care. This has intensified calls for a more user-friendly approach to healthcare access.
In her inaugural interview since assuming her role, Professor Victoria Tzortziou Brown, chair of the RCGP, emphasised the critical role of general practice as the initial point of contact for patients. “What many patients expressed during our campaign is that it often feels like they are opening the front door to a maze,” she explained. Professor Tzortziou Brown noted that GPs share this sense of uncertainty, often spending a significant portion of their time—between 15 to 30 per cent—managing referrals and administrative tasks rather than attending to patients directly.
The Patient Experience: A Call for Change
The report highlights the need for patients to receive timely appointments and adequate time to discuss their health concerns. For those with complex conditions, the burden of repeatedly sharing their medical history at each visit adds to their frustration. Rachel Power, chief executive of the Patients Association, stated, “Patients have told us clearly what they need: appointments when they need them, enough time to explain what’s wrong, and the ability to track their referrals rather than being left in the dark.”
In light of these concerns, both organisations are urging the government to take action. The proposed changes are not seen as radical but rather as essential adjustments that could significantly enhance the patient experience without necessitating a complete overhaul of the system.
Government Response and Future Outlook
Responding to the report, a spokesperson from the Department of Health and Social Care remarked, “This Government is fixing the front door to the NHS, with our priority being to ensure General Practice is well-resourced and capable of providing high-quality care.” They pointed to the recruitment of over 2,000 GPs in the past year and a £1.1 billion funding boost for primary care as steps towards improving access and alleviating pressure on services.

As the NHS continues to grapple with the challenges of a growing patient population and increasing demand for services, the call for a more navigable healthcare system remains crucial.
Why it Matters
The current state of the NHS significantly impacts the well-being of millions of patients who rely on its services. Simplifying access to care is not just a matter of convenience; it directly affects the quality of healthcare and patient outcomes. As the demand for services grows, effective reform is essential to ensure that individuals can receive timely and appropriate care without unnecessary stress or confusion. Addressing these issues could lead to a more efficient, patient-centred NHS that prioritises the needs of those it serves.