Yes NHS (re)direct are a pain in the posterior but if you look at it from their point of view then they have to err on the side of caution. The increasingly litigeous nature of medical work unfortunatley makes it that way. If you don't see the patient all you can do really is guess whats wrong with them. I have been to people with "Chest pain" that turned out to be everything from renal colic to back ache (anterior chest pain apparently). So what do you do? I would suggest scrapping it