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I signed up with the practice I'm now with over 3 years ago after my caring doctor retired, I have yet to see a doctor, it's always been practice nurses.
One time the nurse told me she thought I should urgently to go to hospital to check my condition, she went to consult the doctor, 20 minutes later she returned, the doctor didn't even put their head around the door to check me over.
I don't consider this to be a very good practice, but what the hey, I'm still alive so the nurses must be doing something right.