IN response to the letter ('Language barrier frustration', Sept 1), we, as receptionists in a large GP surgery, felt the need to reply.

On our list, we have patients from countries all over the world. Not only do they have their own language they also have many dialects within that language. To be able to converse with each of our patients we would have to learn approximately 135 languages and dialects. We do our best with what resources we have available.

We can book interpreter services for asylum seekers, but it is a complicated process. We have to give five days notice and the requests have to be e-mailed - all the while trying to explain to the patient what we are doing.

We all, including the patients, get frustrated with the system but are powerless to change it.

RECEPTIONISTS