At my surgery the receptionist explains what they mean. I am not sure if she is meant to. It makes me laugh (or weep). At the last count I was offered a flu jab by three different people. Needless to say I had already had the ***** thing prior to these offersWhat a drag. We don't have records on-line here yet - some software screw-ups or something - but I just get the practice to leave a copy for me at reception. Dunno if they're supposed to do that but it would irk me having to book an appointment just to see my numbers.