The title is fact but is this due to under funding or just pure wastage. However consider this. In July this year I received an appointment to attend the dermatology department at the North Durham University hospital, for consultation about a skin condition this appointment was to happen on the 21st October 2020. The original GP's referral was from a visit to him in February this year and we all know what has happened between then and now. Today 17th September I received a letter telling me the appointment had been cancelled and I would be advised later when a new appointment was available. With that letter came a 2nd letter telling me exactly the same information, Both dated the 15th September. With that letter came another telling me I had a new appointment on the 14th October 2020 at 2pm With that letter came a 4th letter cancelling that appointment. The last 4 letters were all sent on the same day, 15th September 2020. I rang them up asking what were they were playing at and made an obvious point indicating they were wasting money out the duplication which was costing them time to type, to print and to post The collection of sheets on single sided good quality A4 paper came to a total of 17 pages and 4 envelopes. I was put on hold for a couple of minutes and when she came back I was told that I had a new appointment on the 14th October 2020. This was to be on the same day as the 3rd letter but 10 minutes later with the same consultant. I am loosing the will to live, although my conditioning is not life threatening the inefficiency of the hospital most certainly is. Do they not check anything that may be duplicated - stupid me it is a Government organisation. .