the way gps work has undergone radical change in the last 18 months. face—to—face appointments like this used to be the norm, but covid has led to a big shift towards phone or online consultations. a move that dr hunter recognises is not popular with every patient. and i do understand that as a patient that that is very hard. the ability to consult in ways other than face—to—face increases the capacity within the system. the number of gts gps has fallen in recent years. the strain caused by the pandemic that my oldest shows that the pressure on gps shows no sign of easing. they are having to adapt to new ways of working.