Just to continue on the theme of efficient use of NHS resources...
Some GPs are as frustrated at restrictions on NHS resources as we patients. Last night I saw my GP regarding an injury suffered 3 months ago - since falling down a cattlegrid while running to put out cycle race signs in the dark, then, I haven't been able to walk properly, straighten of bend knee fully, run, orienteer, kayak etc. I have had to do park patrols on tractor instead of walking etc. At least I can drive, although have only needed to do one long day since, and have managed my normal daily maximum of 10 miles by bike - once I get my leg over the back, it's just about OK. Local procedure is to see a GP with special interest in orthopaedics, which was back in mid Sept; his idea of what "urgent referral" to surgeon means obviously doesn't mean what I think it does, as I will see surgeon in late November. Almost certainly, according to 2 regular GPs, 1 GP with an interest in orthopaedics and 1 physio, it's a torn medial meniscus (cartilage between femur and tibia, nearest middle of body) that needs an arthroscopy and trim, which would be a day case if I didn't have diabetes treated with insulin, but will need an overnight stay before.
GP supported my strategy of not overusing legs, acknowledging the frustration involved in missing sport, confirmed that it was best to take painkillers so I can get to sleep, rather than to do more throught the day, and didn't disagree with my preferences to save NHS resources by reusing lancets and needles, sticking with a cheaper older insulin which suits me and making sure every blood strip counts. I really think he was as frustrated as I was at lack of progress. Probably the only GP appointment I've had in my whole life that was for reassurance rather than treatment, but I really needed it, and feel a bit reassured that the next few weeks aren't going to harm knee too much. Obviously, next stage is the wait between appointment with surgeon and getting surgery, then follow up physio.