07/11/2025
KING STREET SURGERY
Improving Access to Care:
Moving to a Total Triage System from 26th November 2025
We know how important it is for our patients to access the care they need, when they need it. Many of you have told us that getting this care can be challenging, particularly when phone lines are busy or appointments are quickly filled.
To help address these issues, we’re introducing a new approach called Total Triage — a system that is already being successfully used in many GP practices across the country. In fact, King Street are one of the last surgeries in the Bedford area to go live with the new system.
What is Total Triage?
Total Triage is a new way of managing care requests, designed to ensure that all patients are assessed on clinical need and then directed to the most appropriate care, by the most appropriate person, in the most appropriate timeframe.
Every request for care made during the surgery hours will be reviewed by a clinician.
You will be able to request care in the several ways:-
• Online Through SystmConnect which will be available via our website. A NEW online consultation tool and the most efficient way to contact the surgery. This will include requests for non-urgent, routine appointments, new conditions, ongoing conditions and follow-up. Friends and family can help you complete this online.
• By Telephone – If you are unable to access SystmConnect online, our team will collect the necessary information. There will be no need to join a long phone queue at 8am as EVERY Request will be assessed before an appointment is offered.
• In Person at reception – speak directly with our reception team who can help if needed to collect the necessary information. There will be no need to stand outside the surgeries in the cold or wet weather at 8am to be first in the queue as EVERY request will be assessed before an appointment is offered.
Depending on the nature of your request, you may receive:
• A direct referral to community services such as Pharmacy First in a local Community Pharmacy or the Minor Eye Conditions Service in a Community Optician.
• A face-to-face or telephone appointment with a GP – the clinician may arrange some investigations like a blood test, X-ray or scan before the appointment so that the results are ready to discuss in time.
• A consultation with another member of our clinical team — such as a physiotherapist, pharmacist, mental health practitioner or nurse.
• A prescription, medical certificate or advice without needing an appointment.
• A direct referral to a specialist service if needed.
Equal Access for All Patients
We understand that not everyone has access to a smartphone or computer. That’s why Total Triage is designed to be inclusive and accessible for everyone — not just digital users.
If you don’t use digital tools, you can still:
• Call the practice and speak to a team member who will complete the information with you
• Visit us in person and speak to reception
Every request – regardless of the way you contact us – will be treated equally, so no one is left out or disadvantaged.
Why Are We Making This Change?
The current system doesn’t always work well for patients or for our team. You’ve told us:
• It’s difficult to get through on the phone, especially in the morning
• Appointments get booked up quickly, regardless of urgency
• Some patients are unable to call at 8am due to work or other commitments
• Some requests, such as for medical certificates or prescriptions, don’t always need an appointment — but there hasn’t been a clear alternative
At the same time, GP practices across the country are experiencing rising demand and workforce pressures. We need a smarter, safer way to prioritise care and ensure we use our time and resources effectively.
The Benefits of Total Triage
• More timely care for urgent issues
• Patients are matched with the most expert clinician for their problem — this is not always a GP
• More flexibility and fairer access for all patients
• Safer clinical decisions made earlier in the process
Accessing care when the surgery is closed
This won’t change. Depending on your problem please continue to speak to your pharmacist, use NHS 111, a Walk In Centre, an Urgent Treatment Centre or A&E as before when the surgery is closed.
We’re committed to making it easier, safer, and fairer for everyone to access the care they need. Thank you for your continued support.