Patient Survey: Extended Access to GP Services July/August 2022

Thank you to the 2,825 patients who took their time to complete our Patient Survey which ran from 28th July to 14th August 2022.

The purpose of the survey was to assess patient need for GP services outside of core GP hours. This was to assist us in our planning for NHS England’s new ‘Enhanced Access’ service, introduced 1st October 2022.  The change in contract sees GP practices providing more services to their patients out side of usual practice hours (8:30am – 6:30pm).

Survey Results

Q1. Thinking about appointments outside of our usual opening hours (8am-6:30pm, Mon-Fri), which of the following would you find most useful?

You can select more than one option

Appointment Times


Early Mornings (7:30am - 8am)

Evenings (6:30pm - 8pm)

Saturdays (9am - 5pm)

Sundays (9am - 5pm)

None of the above

Appointment Type


Blood Tests

First Contact Physiotherapy / FCP (to assess & manage musculoskeletal conditions)

GP Consultations

Health Condition reviews (such as, asthma, diabetes)

Health Screening (such as, cervical smears)

Medication reviews / Pharmacist review

NHS Health Check (a health check-up for adults in England aged 40 to 74)

Support Groups (such as, Youth Drop in clinic, Mental Health support workers, Social Prescribers)

None of the above


Consultation Type




Video Calls


Online Messaging / Online Services

Same Day

Support Groups

Group Consultation (bringing together individuals into small groups for support with long-term conditions)

None of the above



The information gathered has helped us to plan our services around the needs of our patients.

As part of the NHS Enhanced Access service Foundry now offer:



7.30am - 8:00am, Monday & Tuesday
Healthcare Assistant Appointments

(Incl. Bloods, BP monitoring, ECGs)




6:30pm - 8:00pm, Thursday
Social Prescriber Appointments
(60minute Appointments offering advice and support with issues such as, Debt Management, Social Isolation, Housing and more)


7.30am - 8:00am, Monday - Friday
Practice Nurse Appointments
(Incl. Vaccines, Bloods, Cervical Screening and management of Chronic Conditions)



7.30am - 8:00am, Thursday
First Contact Practitioner (FCP) Appointments
(Offering Physiotherapy appointments for problems with muscles, ligaments, tendons or joints, any sports injuries, arthritis or spinal pain.)


8:00am - 12:00pm, Saturday
Nurse and HCA Appointments*
(*To begin once our weekend Covid/Flu Vaccination clinics have finished)



6:30pm - 8:00pm,  Monday-Friday /
8:00am - 8:00pm,  Saturday & Sunday
GP Appointments and Support Cover at Lewes Victoria Hospital, Urgent Treatment Centre
(Prebookable GP appointments, GP support to UTC services and Weekend Care Homes cover)




Q2. When you last contacted Foundry, to access our services, did you experience any of the following?

You can select more than one option


Long wait times on the telephone lines

Lack of appointment availability

Long wait times for getting an appointment

Difficulty attending the GP Practice

Difficulty booking with preferred GP/Preferred GP Team

No access online – I do not have access to the internet

I am unable to attend appointments during core surgery hours (8:30am – 6pm, Mon – Fri)

None of the above


Long wait times on the telephone lines
We are listening, and aware that our telephone system is not suitable for the demand and capacity we now face as a larger organisation. We are in negotiation to appoint a new telecommunications provider, with the potential to provide options such as automated call back and direct appointment booking. As well as a robust reporting system that can track trends and behaviours, so that we can be more adaptive to the needs of our patients.

We aim to ensure the new system works for all and are currently finalising arrangements that will see a group of volunteer patients assist our team in developing aspects of the new telephone services from the outset.

Lack of appointment availability
We operate a system that allows us to offer GP appointments either on the day - for clinically urgent queries, or within 1 week / within 4 weeks based on urgency and need. For most queries patients will be contacted on the telephone by a clinician and, if necessary, offered a face to face appointment in surgery. Many things can be dealt with safely and effectively over the telephone and do not always require a face to face review.

We also offer a variety of appointments with specialist clinicians, including First Contact Physiotheraptists (FCP), Advanced Nurse Practitioners (ANP), Paramedic Practitioners, Social Prescribers and Mental Health Support Coordinators. Patients may find that there issue can be dealt with quickly and more effectively utilising the expertise of these clinicians, without the need to see a GP.

Difficulty booking with preferred GP
We try to ensure that continuity of care is given to those patients in most need, often with complex health issues. Our receptionists will always endeavour to try and book a patient an appointment with their preferred GP, this however may result in a longer wait for that appointment.

No access online
We now have 2 Digital Ambassadors at the surgery. They can help and guide patients in accessing and using NHS online services and other digital health tools. This service is available to any patient registered at our surgery and can be accessed by calling and booking an appointment through our reception team.



Q3. Would you be happy to Travel to the Lewes Victoria Hospital to attend an out of core surgery hours appointment?

Appointments at the UTC
We are now providing evening and weekend appointments as part of the Enhanced Access Service, with the majority taking place at the Lewes Victoria Hospital, Urgent Treatment Centre (UTC).  With support from our patients we are able to make the best use of the facilities and resources available to us.

Our GP's, whom are also based at the UTC during core practice hours, are able to offer support to and are supported by the UTC's Enhanced Nurse Practitioners, working together 8am-8pm, Monday to Friday to provide collaborative care to our patients. In addition to this, at the weekends our GPs are also on hand at the UTC to provide additional cover to our care homes and their patients.



Past Patient Survey Results

Patient Survey - June 2020


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