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This meant doctors spent more time on these patients than they would have done if they were allowed to come directly for an appointment in the first place.

Researchers said the so-called ‘telephone first’ system, implemented by nearly 150 practices in England, was ‘not a panacea for meeting demand’.

As a platinum haired Rafferty, who looked stylish in a slate grey geometric print shirt, went to blow out the candles, his fashion designer playfully ambushed him, smashing the cake into his face, leaving his face covered in chocolate frosting.

His friends could be seen laughing out loud as Rafferty good-naturedly went to wipe icing off his face, with his sister Iris Law, 16, and Radio 1 DJ Nick Grimshaw also seen at his lavish birthday dinner.

He was formerly in the band The Dirty Harrys along with his best friend Marley, son of Pulp’s bassist Steve Mackey.

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Sadie looked effortlessly glamorous with her raven bob styled in a sleek side-part and wearing a black and white floral print shirt.