I am moderate COPD and used to have 6 monthly reviews. However they have cut these back last year to 12 monthly due to lack of staff.
My last one was December 2013 and I hadn't yet received the letter telling me to make an appointment so popped into the doctors and asked the receptionist why and could I make one please. Her reply? Oh they have changed the system now - you get an letter on your birthday instead! Well fortunately my birthday is in January but by the time I would be able to get an appointment it would be February and maybe even March. So that would be 14/15 months without a review...
I did manage to get one for December this year instead which means next year it will be a lot longer.
Isn't it ridiculous?