My July 2011 annual appointment was changed to February 14th 2012 then the time was changed. Yesterday my February appointment was changed to August 2012, which would have meant the annual appointment became a two year gap. I have so many letters with so many changes that I am starting to lose the plot! So I phoned up and the reason for the change was the same as last time - the consultant going on annual leave, As I was the first to call I was offered one of a few cancellations (not sure why this couldn't have been offered in the first place??) for 7th February. So am waiting with baited breath to see if it is changed again.