Total triage was a system whereby patients were remotely directed to the most appropriate health service for their problems, and was introduced as a Covid-19 precaution. GP appointments were also conducted by telephone, video or online unless it was clinically necessary for a visit to take place in person. In the joint letter from Dr Nikki Kanani, medical director for primary care at NHS England and director of primary care Ed Waller, doctors were told to respect patients’ choices. Hereford Medical Group, which runs the new Station Medical Centre in the city, said it would continue to start with a telephone call before arranging a face-to-face visit.
Rejecting the application, development manager at Herefordshire Council Simon Withers said the plans failed to show how the required visibility splays from the driveway would be achieved, risking the safety of walkers. He also said there would be no on-site turning for cars, and removing a prominent section of the Edwardian boundary wall would result in a loss of a feature which makes a positive contribution to the significance of the Aylestone Hill conservation area. The third reason for refusing the application was the rooftop balcony on the proposed extension would create an adverse residential relationship , and have an overbearing impact.