Nothing wrong here
'...patients who have registered a Type 2 objection "may not have understood that this will mean that as a result, they will not be approached for direct care services like e-prescribing, bowel screening, e-referrals or e-pathology reporting."'
Hmm... I registered a Type 2 objection via my surgery and I've just been prescribed bowel screening as part of a national programme to bowel screen all over-60s. Is there really a problem?