Patients are increasingly finding it difficult to navigate the intricacies of NHS services, prompting health leaders to demand a more straightforward approach to accessing care. A recent report from the Royal College of General Practitioners (RCGP) and the Patients Association highlights the urgent need for reform, labelling the current system as “confusing, frustrating, and demoralising.” With over 6 million patients currently on NHS waiting lists, the healthcare landscape is in dire need of adjustment to ensure timely and effective care.
The Complexity of Accessing Care
The report paints a stark picture of the challenges facing patients and healthcare professionals alike. It describes the NHS as a “complex web of organisations,” which can leave individuals feeling overwhelmed and lost. Many patients report feeling rushed during appointments, facing long waiting times, and experiencing issues such as lost referrals—an all-too-common reality that adds to their stress and uncertainty.
“Accessing the NHS often feels like a maze of dead ends and detours,” the report states, underscoring the shared frustrations of both patients and GPs as they attempt to navigate this convoluted system.
Voices from the Frontline
Patients have expressed their feelings of being “left in the dark” regarding their care. Many are unsure about the status of their referrals and lack clear communication from healthcare providers. To address these issues, the RCGP and the Patients Association have put forth several recommendations, including the ability for patients to track their specialist referrals—a much-needed transparency that could significantly improve their experience.

Professor Victoria Tzortziou Brown, chair of the RCGP, emphasised the importance of reform, stating, “General practice is the front door to the NHS, and what a lot of patients told us through this campaign is that it feels like they are opening the front door to a maze.” She highlighted that both patients and GPs are caught in the same web of uncertainty, which can lead to inefficiencies and frustration.
Recommendations for Change
The campaign spearheaded by the RCGP and the Patients Association advocates for three primary changes to simplify NHS access. These proposals, described by Professor Tzortziou Brown as “not necessarily radical,” could make a substantial difference in the patient experience without necessitating a major overhaul of the system.
“More user-friendly systems would significantly reduce anxiety for patients and unnecessary administrative burdens for GPs,” she remarked. The organisations stress that no individual should feel lost within the NHS, particularly when they are at their most vulnerable.
Rachel Power, chief executive of the Patients Association, echoed these sentiments, stating, “Patients have told us clearly what they need: appointments when they need them, enough time to explain what’s wrong, and access to information about their own care.” This fundamental shift towards recognising patients as equal partners in their healthcare journey is pivotal in reshaping the NHS.
Government Response
In response to these pressing concerns, a spokesperson for the Department of Health and Social Care asserted that the government is actively working to enhance NHS access. They noted that over 2,000 new GPs have been recruited in the past year, alongside a £1.1 billion funding boost for primary care. Efforts to streamline processes, such as implementing online booking systems, are also underway to alleviate pressure on services.

“We’re also bringing back the family doctor, ending the 8am scramble and boosting patient satisfaction as we build an NHS the country can be proud of again,” the spokesperson added, indicating a commitment to improving the overall quality of care.
Why it Matters
The challenges patients face in navigating the NHS not only affect their health outcomes but also contribute to their emotional and psychological distress. As the healthcare system grapples with increasing demand and complexity, reforming access to care is imperative. By simplifying processes and enhancing communication, we can ensure that patients receive timely and effective healthcare, ultimately fostering a more resilient and responsive NHS. This is not just about improving systems—it’s about restoring faith in a service that is meant to support individuals at their most critical times.