With local waiting times often quite long this can understandably lead to frustration for both patients and their GP. It is therefore not uncommon for the surgery to be contacted to chase up their appointment times or try and bring them forward. However, we have no control over the appointment allocation and our secretaries do not have privileged access to the hospital departments. Urgent appointments are offered according to set clinical conditions and consultants will not accept letters from GPs appealing for a particular patient to be pushed up the ladder. We would therefore ask patients to contact the hospital directly if they have enquires about their appointment time or wish to be put on cancellation lists.