RCGPs: Charging for missed appointments will not address intense GP pressures

The vice-chair of the Royal College of GPs (RCGPs) has responded to pledges to introduce charges for missed NHS appointments

Dr Gary Howsam said: “GPs and our teams are working under intense workload and workforce pressures, delivering increasingly complex care to increasing numbers of patients while numbers of qualified, full-time equivalent family doctors is falling despite the Government’s manifesto promise of 6,000 more GPs by 2024.

“When patients miss appointments, it’s frustrating as these are appointments that could have been used for other patients. But charging for appointments is not the answer. It would fundamentally change the principle that the NHS is free at the point of need and would likely impact on our most vulnerable patients most – and it would add another layer of bureaucracy to a GP service already drowning in red tape.

“We also need to remember there are many reasons why this might happen. For some patients, missing appointments can be a sign that something more serious is going on, and that follow-up action is needed. For some, it will have been a case of human error. For others, particularly if the appointment was longstanding, it may have no longer been needed. 

“Practice teams work hard to ensure patients are aware of their appointments by sending reminders by text and email or encouraging them to manage their appointments online or through the NHS app.

“What is essential is that patients who are able to who no longer need their appointment, contact the surgery as soon as they can to let them know they won’t be attending, so that consultations can be offered to other patients. 

“Ultimately, the bigger issue affecting patients’ ability to access GP care and services is the workload and workforce pressures family doctors and our teams are working under”.