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Having used NHS Doctor systems for 60 years I can't see how you now need a practice manager.
Why isn’t the practice staffed at week-ends to address patients needs rather than patients having to use the drop in centre in Hillfields. Surely a skeleton staff would manage patients needs in an emergency.
Why can't simple treatments i.e. blood tests X-rays etc be carried out at the clinic instead of having to visit hospital (It is to boost the unethical, disgrace for parking charges)