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What do I have to tell my doctor/derm to get prescribed Retin-A in the UK?

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I've had acne for over a decade now. My doctor was about to refer me to a dermatologist, but then the doc place shut down. At this new one, what do I have to say to get referred to a dermatologist for sure? Then when I get there, what can I say to definitely get prescribed Retin-A? My skin isn't *super* bad anymore, but it isn't controllable after I did an experiment. My texture and pores are very bad too, if I just complain about those a lot will I for sure get it? 

Also, is there any way I can stop docs from repeatedly trying to give me antibiotics? They never worked. Would it be enough to say how I get serious multiple yeast infections? Because I'm sure they'd make those worse. 

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