London Daily

Focus on the big picture.
Friday, Sep 18, 2026

Rishi Sunak backtracks on £10 missed NHS appointment fines

Rishi Sunak backtracks on £10 missed NHS appointment fines

Prime Minister Rishi Sunak has scrapped a Tory leadership campaign pledge he made to fine patients in England £10 if they miss GP or hospital appointments.

He made the pledge during this summer's leadership contest against Liz Truss.

Mr Sunak had argued it was "not right" some patients were failing to turn up, taking slots from those in need.

But a No 10 spokeswoman said that, after "listening to GPs", the government decided it was "not the right time" for the policy.

She added that Mr Sunak wanted to deliver "a stronger NHS and the sentiment remains that people should not be missing their appointments and taking up NHS time".

Critics of the proposal included doctors' union the British Medical Association (BMA), which said it would "make matters worse" and threaten the NHS's principle of free care at the point of need.

The BMA welcomed the decision to scrap the plan and said it "cannot be brought back to the table later down the line".

It said "punishing" patients was not the answer to the many reasons people miss appointments, and the policy would "only deter the most vulnerable from seeking the help they need, worsen health inequalities, and ultimately undermine the essential trust between doctor and patient".

Instead, the BMA said the government must work to improve pay and other conditions to ensure the NHS has safe levels of staff.

Reflecting a similar view, the Royal College of GPs said the plans would have disadvantaged some of the NHS's most vulnerable patients.

Chairman of the college Prof Martin Marshall said the move would "simply have been tinkering at the edges given the scale of the crisis facing GPs and our teams".

Outlining the policy in July, Mr Sunak said patients would be given the "benefit of the doubt" the first time they missed an appointment without providing sufficient notice, but further absences would incur a £10 charge.

Fines would also be waived in exceptional circumstances, such as if a patient had an emergency.

He explained the system would be "temporary" as backlogs caused by the pandemic were cleared.

But he gave few details of the how the system would work, writing in the Sunday Telegraph: "If we have people who are now showing up and taking those slots away from people who need [them], that's not right.

"I'm all for a healthcare system that's free at the point of use, but not one that's free at the point of misuse."

Asked if other pledges on the NHS made during the summer leadership campaign still stood, she said Mr Sunak's "initial ideas" over summer would be discussed with cabinet ministers and any announcements would be "set out in due course".

Mr Sunak had also pledged to eliminate one-year waiting times by September 2024, and get the number of people waiting for non-urgent treatment in England falling by next year.

He pledged to do this by boosting the number of "diagnostic hubs" outside hospitals, including by repurposing empty High Street shops. He also pledged to reform dentists' NHS contract, and ring fence the annual £3bn NHS dentistry budget.

The decision came as Mr Sunak met patients and staff at Croydon University Hospital in his first visit as prime minister.

A patient was filmed telling the prime minister he needed to "try harder" to pay NHS staff more.

Mr Sunak replied "he would take that away" following the exchange.

During the summer the Conservative Party membership chose Ms Truss over Mr Sunak, but this week he succeeded her by winning enough nominations from Tory MPs on Monday following her resignation.


WATCH: Catherine Poole, aged 77, tells Rishi Sunak NHS staff should be paid more


Newsletter

Related Articles

0:00
0:00
Close
UK Parliament Advances Sovereign Grant Reform Setting Royal Funding at £99.9 Million
King Charles Urges Human-Centred Approach to Artificial Intelligence at Scotland Summit
House of Lords Begins Scrutiny of Voting-Age and Political Finance Reforms
UK Labour Market Shows Growing Divide Between Younger and Older Workers
Nearly Seven in 10 UK Small Businesses Delay or Cancel Growth Plans as Costs Rise
Andy Burnham Reaffirms UK Net-Zero Target Amid North Sea Energy Debate
UK Parliament Demands Credible Financial and Decarbonisation Plan for British Steel
MPs Urge Government to Reject Thames Water Rescue Deal and Prepare Special Administration
Bank of England Holds Rate at 3.75% as Energy Shock Raises Inflation Risks
TUC Calls for Social Energy Tariff Funded by Higher Taxes on Bank Profits
UK Parliament Enters Conference Recess After Advancing Sovereign Grant Legislation
King Charles Hosts Artificial Intelligence Leaders at Dumfries House Summit
Nearly Seven in Ten UK Small Businesses Delay or Cancel Growth Plans as Costs Rise
Anthropic Details Malicious Use of Claude in Cyber, Weapons and Influence Operations
McLaren Announces £500 Million UK Investment and 1,000 New Jobs
Scotland and Wales Sign Cardiff Agreement to Deepen Cooperation on Shared Policy Priorities
UK Government Moves to Fully Fund Teacher Pay Award as Strike Threat Recedes
UK Competition Regulator Deepens Scrutiny of Microsoft’s Business Software and AI Market Position
NHS England Reforms Focus on Cutting Waiting Lists and Improving Digital Care
England Maintains Mandatory Housing Targets in Push for 1.5 Million New Homes
UK Government Plans Statutory Industrial Strategy Council to Strengthen Long-Term Economic Policy
Asthma Charity Warns of Major Gaps in Childhood Diagnostic Testing Across England
TUC Chief Paul Nowak Appointed to Bank of England Court
Bristol Opens £35 Million Deep-Tech Innovation Hub at Temple Quarter
Oxfordshire Village Votes Symbolically to Leave UK Over Asylum Housing Plan
Andy Burnham Deepens UK Defense and AI Cooperation With NATO and Canada
UK Government Announces Neonatal Safety Reforms After Thirlwall Inquiry
Bank of England Weighs Rate Decision as UK Inflation Rises to 3.1%
UK Health Unions Warn of Staffing Pressures as Public and Private Pay Growth Diverges
Rockstar Games Faces Tribunal Claims From 23 Former Grand Theft Auto VI Developers
UK Treasury Faces Tighter Budget Constraints as Borrowing Costs and Pension Spending Rise
Prime Minister Andy Burnham Sets Out Ten-Year Plan for Greater Public Oversight of Utilities
UK Economy Grows 0.4% in July as Services and Technology Activity Strengthen
Scotland, Wales and Northern Ireland Leaders Coordinate Push for UK Constitutional Change
Police Tighten Public-Order Measures After Anti-Immigration Protests in Dover and Portsmouth
UK Ministers Pressed for Answers After US Diplomat Accused of Child Abuse Images Leaves Britain
Jaguar Land Rover Pursues NATO Defense Contracts for Defender Vehicles
British Service Member Dies in Road Accident While Deployed in Ukraine
George Osborne Calls for Britain to Rejoin EU Customs Union
Anthropic Chief Dario Amodei Urges Faster UK Action on Advanced AI Risks
UK State Pension Set for 3.9% Rise Under Triple Lock
UK Labour Market Cools as Payrolled Employment Continues to Decline
Reform UK’s £72 Million in Donations Faces Scrutiny Under Proposed Retrospective Funding Rules
UK Doctors Warn Expanded Pharmacy First Scheme Could Put Patients at Risk
British Airlines Cut Short-Haul Capacity as Jet Fuel Costs Rise
UK News Publishers Forecast 40% Search Traffic Drop as AI Overviews Expand
Axel Springer Wins Approval for £575 Million Daily Telegraph Acquisition
London Mayor Sadiq Khan Opposes Heathrow Third Runway Over Climate Targets
Scotland, Wales and Northern Ireland Leaders Hold Summit Seeking Greater Autonomy
UK Energy Price Cap Set to Rise to £1,723 in October
×