Like Kaz's surgery, ours would never consider apologising for any delay, and you are certainly not "kept informed".
MM, I think the main issues here are the sheer size of the practice (12 partners/locums) and the number of patients involved. However it must be said that there is an underlying air there that tends to make the practice administration / reception regard patients as hostiles and vice-versa. Patients get upset (and quite possibly abusive, no excuse, obviously); reception gets very defensive, and one attitude feeds the other. There are now more warning notices about public behaviour and zero-tolerance on the reception walls than publicity posters about diabetes, which says an awful lot in my book ......
Apologies for hijacking the schooling thread!