Primary care in the UK

Most GP practices require registration before booking appointments, although temporary registration may be possible for short stays.

Standard GP appointments are usually around 10 minutes, although longer appointments may be available for complex issues. Many practices now use triage models where the first contact may be an online form or phone call.

Under the Pharmacy First scheme, pharmacists can treat certain common conditions including sinusitis, sore throat, earache, infected insect bites, impetigo, shingles, and uncomplicated UTIs. No GP appointment or referral is needed.

NHS 111 should be used when you need urgent medical advice but the situation is not life-threatening.

Many specialist services require a GP referral, although some NHS services such as talking therapies allow self-referral.

You can register with a new GP practice at any time. Your medical records will be transferred automatically.

Most GP practices serve a specific geographic area. You usually need to live within the catchment area to register.

Many practices offer same-day urgent appointments, but availability varies. NHS 111 can also help arrange urgent GP appointments.

You can first contact the practice manager. If the issue is not resolved, you can escalate to your local Integrated Care Board (ICB). As a last resort, you can contact the Parliamentary and Health Service Ombudsman (PHSO). Many practices also have Patient Participation Groups (PPGs) for ongoing feedback.

NHS guidance is clear that practices should not refuse registration due to lack of ID, proof of address, or immigration status. If you believe you have been unfairly refused, contact your local Integrated Care Board (ICB).