Castlegate & Derwent Surgery Isel Road, Cockermouth, CA13 9HT Tel: 01900 705750

Please note due to the current COVID pandemic our appointment system has changed and we are working in different ways

GP appointments: are released at 8am, please contact our Reception on 01900 705750 to book a same day appointment. You will receive a telephone call first from our clinicians and then if required you will be asked to attend surgery for a face to face appointment. 

Nurse/ Health Care/ Phlebotomy appointments: these can be pre booked via telephone on 01900 705750

How to Book an Appointment

All our doctors and nurses see patients by appointment only. To make an appointment please telephone 01900 705750, call in personally or online through Patient Access.

Surgeries are held, mornings, afternoons and evenings from Monday to Friday. It is usually possible to pre-book to see the doctor of your choice. It may not be possible to see the doctor of your choice for urgent appointments.

What's the problem?

When you ring to book an appointment, the receptionist will ask for a brief idea of the problem. This is so that they can offer you the right type and length of appointment, with the right person. If you prefer not to say, that's fine, just let the receptionist know.

Please be aware that GP face-to-face appointments are 10 minutes, and telephone appointments are 5 minutes. GP's will always give each patient the time they need to ensure their healthcare concerns are met, so if you believe you may need a longer appointment, please speak to our reception team at time of booking. If it is possible to book a double appointment or book an appointment with a Nurse for longer, we will.

Who to see?

You don't always need to see a doctor. We offer a wide range of services provided by our nurses. They often have more appointments available. Sometimes the reception or administration staff will be able to help with your query, e.g. for test results or enquiries about letters or forms. If in doubt the receptionist can advise. You can also consult your local Pharmacist as they can often deal with your medical complaint.

We have created a signpost guide to help you book with the correct healthcare professional- click here to view

We do ask that if you have an ongoing problem that you endeavor to book with the same doctor to ensure we can offer the best continuity of care possible.

Urgent appointments

We have had to consider alternative options for managing our on the day demand as we are seeing this steadily increase. We currently offer a system of telephone triage ran by GPs and appropriately trained nurses (this means that your problem will be discussed with a health professional over the telephone who will determine the medical priority). Telephone appointments on average allow for two patient contacts in 10 minutes compared to one patient contact face to face. Minor ailments can be managed by our experienced nursing team, releasing GPs to deal with more complex health issues. 

The triage appointments are released on the day, a clinician will contact you on a telephone number you provide.  More details will be taken; this allows a number of problems to be dealt with over the phone, meaning you don’t have to attend surgery.  If you have a health issue that needs to be seen, you will be given an appointment with the most appropriate professional in a time scale that is appropriate for the problem. Urgent problems can therefore be dealt with on the same day.

It is worth adding that you may not always see a doctor, we have highly trained nurses, nurse prescribers and nurse practitioners who can often deal with many short term health issues.

Video consultations and digital images

Our GPs and clinicians are increasing the use of video consultations with patients and may ask patients to send in digital photographs if appropriate that will help us to assess the patient. You will receive a text message with instructions of how to send the image. By sending the image you are consenting to the image being saved on your medical record.

Online appointment booking(currently unavailable)

You can book an appointment through Patient Access once you have registered. Patient Access allows you to book, check and cancel appointments 24 hours a day, 7 days a week.  

Alternative appointments may be available by contacting reception if the date/time you require is not available.

Inappropriate use of this access system can lead to removal of your ability to book appointments online.

If you have already registered to use our online services, please click here to book your appointment.

Understanding our appointment system

We are often asked the question 'I don't understand how your appointment system works' therefore we have tried to put together some information for patients to help answer this question and ensure you get the most from your appointment. The information leaflet is available from the surgery waiting area or click here to download a copy.


If you have an appointment and are no longer able to attend, please let us know so that we can give the appointment to someone else. If you have a mobile telephone number registered we will send you a text reminder of your appointment, you can also cancel your appointment using the text service.

If you are late you may be asked to make a new appointment.


All you need to know about online access and the services it provides you 24/7/365



Keeping you up to date with all the surgery news!



The Friends and Family Test is a way for all patients to give feedback quickly.