Hi, I too am unhappy with my GP recently. I have only been with my GP just over a year as I moved. I feel rushed at appointments and have not had a diabetic blood test until today, at my request. I have arthritis in my hands, which prevents me being able to cut my toenails apart from hacking st the big one with kitchen scissors. I can’t afford private Chiropody as I’m on a government pension. I wear shoes a size larger to accommodate this and cotton wool between my toes as my nails cut into each other. I asked to be referred to podiatry and was told the surgery doesn’t refer to podiatry any more. I was given a telephone number of a podiatrist but they told me I had to be referred. I went back to the nurse at my surgery today and she said she would speak to the senior GP, but she thought it was in NICE guidelines and not the surgery. I find this extraordinary as diabetics are constantly told to look after their feet. If it is just a surgery rule then I could change GPs but what can I do if it’s a NICE guideline?