Dunno where Patti is at the mo Peter, but as I've just been catching up on the thread, I'll answer - Truro (she lives in deepest Cornwall) - but all areas have different ways of dealing with things. I'm under Coventry for healthcare but the main Uni Hospital (UHCW) is so huge and so busy (can take you 20mins to get in near any of the carparks and then the rest of that hour to find a space and there's no direct bus service from where we are) so I opt to use the clinic at Rugby St Cross. Again being T1 our surgery has hardly anything to do with my management and if I ask anything they always ask me 'What do the hospital say?' whereupon I think 'You pillock - do you think I'd be asking you if I'd asked them?' LOL but say 'Well funnily enough they don't happen to know that I twisted my ankle this morning/woke up last Tuesday with my shoulder in agony/have a cut that won't heal' or whatever it happens to be.
I know that a LOT of T2s are seen at both the main UHCW clinic and the one at Rugby but what the criteria are for being referred I'm clueless, however another of our T2 members who lives near me but gets her healthcare courtesy of North Warwickshire, has recently started on insulin so her GP (who has mainly been really good, always willing to offer her the newer T2 drugs not long after they first appeared and actually being 'specialist' generally so she hasn't needed any other input - referred her straight to the local hospital D Clinic to start on it because they are so much better than GP surgeries with initial titration and the encumbent teething problems we all have with the marvellous stuff. AFAIK she can ring the specialist nurses at the drop of a hat - and to be honest - ALL hospital D clinics are exceedingly approachable, even when you aren't on their list cos the day to day management of D which all patients have to do, not the medics - is the paramount thing whoever you are.