Missed appointments are costing the NHS £216 million a year

Patients are being urged to cancel appointments rather than just not show up.

Matt Bodell
4 January 2019

NHS England has said that patients must do their bit by lettings services know if they cannot attend an appointment.

There are around 307 million sessions scheduled with GPs, nurses, therapists and other practice staff every year and 5% – one in twenty – are missed without enough notice to invite other patients. That works out as around 15.4 million missed slots.


More than 15 million general practice appointments are being wasted each year because patients do not turn up and fail to warn surgeries that they will not be attending.

Of these, around 7.2million are with busy family doctors, which adds up to more than 1.2 million GP hours wasted each year – the equivalent of over 600 GPs working full time for a year..

Each of these appointments costs an average of £30, putting the total cost to the NHS at more than £216 million. This could pay for; 2,325 full time GPs, 224, 640 cataract operations, 58,320 hip replacement operations, 216,000 drug treatment courses for Alzheimer’s or 8, 424 full time community nurses.

A ‘frustrating waste of resources for GPs’.

Dr Nikki Kanani, Acting Director of Primary Care for NHS England, said: “We know that timely access to general practice appointments are a priority for the public which is why we are growing the workforce and offering evening and weekend appointments.


“The NHS long term plan will set out how we will build on this progress but patients can do their part by letting the NHS know if they can’t make their slot – freeing up doctors, nurses and other professionals to see those who do need care and attention.

“This is particularly important as we go in to winter. Our message is clear: if you cannot make it to your appointment or no longer need a consultation, please let your GP practice know in advance so the appointment can be filled by another patient.”

Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, said: “When patients miss appointments it can be a frustrating waste of resources for GPs and our teams, but also for other patients who are struggling to secure an appointment for themselves.

“There may be many reasons why a patient might miss an appointment, and in some cases it can be an indication that something serious is going on for that individual – but we would urge patients to let us know if they can’t attend as soon as possible, so that we can offer that time to someone else who really needs it. To this end, practices are using electronic methods, such as SMS reminders, to encourage patients to keep their appointments, or cancel them in a timely manner.”


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