My understanding is that all nhs doc surgeries are now (since April 2020) required to offer an online service.
In my surgery this is an option to send in my details, my health issue, and then wait for the surgery to get back to me with a response.
I understand you need to be signed up for online surgery access, but all surgeries are supposed to have that available too, for the last few years.
In my case, I used the online service for knee problems and was rung back by a nurse within an hour and a half, and referred to physiotherapy without having to have an appt with either nurse or doc.
worth trying, especially if it bypasses the receptionist.
Regarding Metformin: don’t put too much faith in its blood glucose lowering impact. If you make dietary changes, and self test you blood glucose, using those readings to inform your dietary choices, then you those will be much more effective than Metformin.