Patients seeking care within the National Health Service (NHS) are increasingly overwhelmed by a system described by health leaders as a “confusing, frustrating, and demoralising maze.” A recent report from the Royal College of General Practitioners (RCGP) and the Patients Association has brought to light the urgent need for a more streamlined approach to accessing healthcare, as millions remain on waiting lists for specialist treatment.
A Complex Web of Healthcare
The study highlights that the NHS operates as a “complex web of organisations,” which complicates the process of obtaining necessary care. Patients often report feeling rushed during consultations and experiencing long wait times, lost referrals, and overwhelming administrative tasks. These issues contribute to a sense of frustration for both patients and healthcare providers alike.
“Patients and GPs are often struggling with the same challenges as they try to navigate an increasingly complex system,” the report states. Many patients feel uncertain and uninformed about the status of their referrals, leading to heightened anxiety and confusion.
Recommendations for Improvement
To address these concerns, the RCGP and the Patients Association have proposed several recommendations aimed at simplifying patient access to healthcare. One key suggestion is the implementation of a tracking system for specialist referrals, allowing patients to monitor their progress without uncertainty. This initiative comes at a time when approximately 6.17 million individuals are on the NHS waiting list for specialised care.

In her first interview since assuming her role, Professor Victoria Tzortziou Brown, chair of the RCGP, expressed the necessity of making the NHS more navigable. “General practice is the front door to the NHS, and many patients have shared that it feels more like entering a maze,” she remarked. “Accessing care can be confusing, and patients often find themselves chasing information about their treatment.”
Addressing Administrative Burdens
The report underscores that GPs are equally burdened by the complexities of the NHS. Professor Tzortziou Brown pointed out that a significant portion of doctors’ time—between 15 to 30 per cent—is spent managing referrals and paperwork, diverting their focus from patient care. This administrative load not only frustrates healthcare providers but also impacts the quality of care received by patients.
“This campaign aims to highlight these issues and advocate for solutions that benefit everyone involved,” she stated, emphasising the importance of user-friendly systems that could dramatically improve patients’ experiences within the healthcare framework.
The Call for Action
In light of the report’s findings, the RCGP and the Patients Association have set forth three straightforward requests to the Government, which could significantly enhance the care experience without necessitating major systemic overhauls. These include making the NHS easier to navigate, ensuring that no patient feels lost during times of vulnerability, and fostering a more equitable partnership between patients and providers in the design of healthcare services.
Rachel Power, chief executive of the Patients Association, echoed these sentiments, stating that patients desire timely appointments, adequate consultation time, and the ability to track their referrals. “They want to be equal partners in designing the services they rely on, not just recipients of systems that cater to organisational needs,” she added.
In response, a spokesperson for the Department of Health and Social Care affirmed the Government’s commitment to improving access to general practice, highlighting recent initiatives such as the recruitment of over 2,000 GPs and a £1.1 billion funding boost for primary care.
Why it Matters
The current state of the NHS is a pressing concern that affects millions of individuals seeking essential medical care. As patients grapple with a convoluted system, the calls for reform from health leaders are more crucial than ever. Simplifying access to healthcare not only alleviates the burden on patients but also enables GPs to focus on providing quality care, ultimately fostering a healthier society. The urgent need for a more user-friendly NHS cannot be overstated, as it directly impacts the well-being of all citizens.