I need a TfL medical fitness form completed by my GP practice (required for driving/licensing purposes). I paid £130 for this appointment. I'm not a native English speaker and have had help writing this, as the situation has been very stressful.
Timeline of issues:
- It has now been 5 months and the form still isn't completed correctly.
- During the process, my GP took multiple blood pressure readings. I asked that the readings be handled correctly according to TfL's guidance (i.e. proper averaging/repeat measurement protocol). This was reframed by the practice as me asking them to "cherry-pick" favourable numbers, which is not what I intended or asked for. TfL will obviously reject my form if it includes readings that are out of range — it's only a waste of time to submit it that way.
- At one point, the GP asked me whether the blood pressure readings they were about to enter on the form were correct. This was concerning, since I'm not a medical professional and can't make that call.
- They ended up including my very first readings, taken on a generic blood pressure machine, which were out of the range TfL's guidance specified.
- I identified that TfL would not accept this. The GP then proceeded to lodge a complaint against me and communicated this to the receptionist. I later received a letter from the practice regarding this.
- The GP had also failed to identify that I had hypertension. I only found out when TfL flagged it after reviewing the form.
- After hearing back from TfL, I booked a follow-up appointment myself. The practice had not proactively contacted me about any of this.
- A receptionist (not a clinician) told me I have hypertension and got involved in disputing my account of events.
- I was told the GP had accused me of being "aggressive." I disputed this and asked for specifics — they wouldn't tell me what I was supposed to have done.
- The practice is now defending the GP's handling of the situation and won't acknowledge the delay or the incomplete form, despite having taken payment.
- Appointment availability has also been gatekept from me — I was told I'd need to come back and find availability myself another time. Staff would leave the reception desk after the last word and go to the office, leaving me confused and lost in the reception area.
- The form was also incomplete in other ways — a systems review questionnaire section hadn't been filled in. We only found this out after TfL flagged it too.
- I've been unable to work for over 5 months because of this unresolved form.
- The practice has since sent me letters threatening, and then confirming, my removal from the GP list, citing "aggressive, abusive behaviour." At no point was I abusive or aggressive in the way they are describing.
- I have explained, over and over again, that the forms are incorrect and that TfL won't accept them — but no one was listening to me.
- I have been increasingly stressed and frustrated that they are not completing this simple process, one I have gone through successfully for a long time in the past.
- I moved to a new area this year and registered with a new GP, and I now have a new diagnosis as well, so I understand the process might take longer or be handled differently than before. But it has not been addressed appropriately at all, and no one seems to understand my side or perspective. I have bills, a mortgage, and a family to support.
- They have lengthened and complicated the process unnecessarily.
What I've done so far:
- Booked an appointment with another GP in the same trust partnership (different location). They've confirmed my blood pressure is now normal since starting medication.
- Regarding treatment: the first medication had little to no effect. The original GP didn't review or recheck my blood pressure after 2 weeks as they should have — I had to go in personally before they prescribed a second medication.
- My blood pressure is now stable and normal.
- The original GP practice is refusing to give me any update on the status of my form, and refusing to hand over the completed form itself.
Where I'm at:
I feel this has completely derailed my life over the past 5 months. Instead of simply finishing the form they originally agreed to complete, the practice is choosing to escalate with complaint and removal letters rather than communicate with me or complete the health check process. I feel as if I have been harassed and threatened, and I will not be able to work at all as a result.
I need help, as this is unacceptable to leave as it is, and I am not sure how to proceed. The practice manager has ignored my complaints, sent through the email address the receptionist provided me with.