The closure-fraught GP out-of-hours service at the Vale hospital is now permanently by appointment only – prompting campaigner outrage.NHS Greater Glasgow and Clyde announced the new measure on June 1, the same day it was implemented.It came as a shock to community figures, including Jackie Baillie MSP and Vale of Leven Hospital campaigner Jim Moohan - who say there was no prior notification or consultation.It means residents will need to phone NHS24 on 111 in the first instance and will either receive a telephone consultation from a clinician or will be asked to attend an urgent primary care centre at an allocated time.The board also says that anyone who turns up without an appointment will not be seen.Chiefs say the new system has been.