Ronib did you want the GPS to dictate referral letters, read letters from hospitals, read test results and call patients, take next steps, seek second opinion from colleague, deal with running the business and matters Ted cqc, carry out professional development so that they are up to date when treating you, have a lunch break, have a few weeks holiday etc or was it just the 40 appointments? 40 appointments are considered very unsafe level. What you have described is way over 3 days work