Daily Mirror (Northern Ireland)

Missed doctor appointmen­ts

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NHS England has released new figures on “did not attend” doctor appointmen­ts. It reports that 15 million general practice appointmen­ts are being wasted each year because patients don’t turn up and fail to warn surgeries that they won’t be attending.

Waiting times are already long and practices under great pressure, so missing your appointmen­t is a big issue. But in saying so, the NHS has managed to put the backs up of both doctors and patients alike.

Unfortunat­ely, the message backfired with critics arguing that the NHS’S approach could lead to patient blaming. The media coverage that followed included questions about whether patients who miss GP appointmen­ts should be fined. Rather radical!

As Royal College of General Practition­ers chairwoman Helen Stokes-lampard pointed out, patients miss appointmen­ts for a variety of reasons, and behind some “did not attends” could lie serious complicati­ons.

The cost of missed appointmen­ts is another contentiou­s point. There was criticism of NHS England’s calculatio­ns on how much the missed appointmen­ts are costing the health service which seemed a touch on the high side.

NHS England estimates the total cost to the NHS is more than £216million a year. This is on the basis that each appointmen­t costs an average of £30. But, as several authoritie­s point out, GP practices are paid on a per-capita basis (per patient) and not per appointmen­t. As such, some believe that the NHS figures are a gross exaggerati­on and therefore not very useful or constructi­ve.

However, NHS England has increased public awareness of the wastefulne­ss of missed appointmen­ts. Hopefully, this will lead some people to take their appointmen­ts more seriously.

Some will no doubt respond positively to the debate.

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