"Non-communication to me of appointment made by you."

I had an annual appointment made for a couple of months ago to review a possible ocular melanoma. The appointment had been texted. I have mild cognitive impairment manifest as difficulties with memory. I searched my emails and of course could not find it. There was no letter.

I noticed a number on my phone which is not filed with my contact. I found a text from SEH. I had I missed my appointment. 

Then I thought I should call SEH. I found another text. SEH informed me that it had made an appointment for me for the month following my missed appointment. No time. Note that's also an ambiguous format: 

And if intending to attend to not reply. And, if intending to not attend, to reply - and  in that case, also to ring (phone number provided) to reschedule. 

I intended to attend and so was presumably not to reply. Now it appears I was to ring this number to do your re-scheduling - which was what I had set out to do in the first place - even though your advice was that rescheduling had already taken place.

However, I needed the time of the new appointment. So I texted back, What time? And awaited a response.

There was none. I rang the general reception and was advised that SEH day staff had gone home.

If SEH continue to offload management of SEH's diary to disabled people, then disabled people will be first blocked and then removed. 

Prediction rests upon existential metaphysics. To couple results to metaphysics, then reverse onus, is to offload responsibility to the least able. 

I will attend at 9 am. No doubt this little indulgence is not going anywhere remotely relevant, but to a marketing consultant, to further massage client perceptions so that problems of this kind play no part. 

The economical way is to not offload, but to ensure actual contact and not proceed without fully-informed actual (not inferred) consent. In my opinion, very simple: keep making appointments properly - don't cut corners.