We are called in regularly for six monthly blood pressure check ups one of those includes a fasting blood test.These are carried out by a nurse. We do not get to see our GP unless we first of all ring the surgery, speak to the receptionist who takes a note of our troubles, passes these to the doctor, who then rings us to ascertain the facts, and decides over the phone whether we need an appointment, or if just leaving a prescription is all that is necessary. The pharmacist checks our regular prescriptions annually. Not a very satisfying state of affairs, but there is very little we can do about it.