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Bosses say demand has trebled in three years due to ‘widespread frustration’ among patients unable to get appointments at surgeries.

Katherine Murphy, of the Patients Association, said: ‘We are very worried that GPs are being taken out of very busy surgeries.

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Doctors aren’t able to provide them with the safest advice.’An independent review of the scheme by consultancy firm Mott Mac Donald found some surgeries are having to offer GPs extra cash to get them to work.

Growing numbers of patients are willing to pay these fees as it is so difficult to get a face-to-face appointment quickly.

Many have to wait three weeks for a consultation and at some surgeries the only way to guarantee being seen is to queue outside at dawn.

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