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With the lack of continuity of care and lack of time GPs have to review the notes thoroughly of new patients, complex patients with multiple symptoms can get missed. With 10 minute appointments, there is approx 7 mins for a patient to spend with a GP which isn't long. Frequently they come for multiple one issue problem (to different GPs) or try and describe everything in one appointment and both are not ideal. I have had patients come with notebooks of multiple pages of different symptoms which are just not practical to review in the time.