There’s a very specific NHS phenomenon where a specialty consultant sees a patient once a year, performs a ceremonial review, delegates a small novel’s worth of bloods, scans and medication changes… then disappears until next spring. The letter arrives full of authority and zero contact details — no phone number, no email— and more often ends, inevitably, with “discharged back to GP.” The patient then enters the great NHS relay: switchboard, secretary, 40 minutes on hold, ringing lines, cancelle
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