Today the 4 January 2023 the Downland Practice has no capacity to deal with the on the day demand. Patients will be requested to ring 111 so that their condition can be assessed and 111 will advise of action for these patients. The Buckinghamshire / Oxfordshire and Berkshire (BOB) Integrated Care Board (ICB) have been informed that the Downland Practice is unable to manage the on the day demand. The may be the need to cancel routine pre-booked GP appointments to free up GP’s time to see patients with on the day demands. This may cause some concern for patients who have to have their routine appointments cancelled. Sorry for any inconvenience this may cause our patients who are effected.