London Daily

Focus on the big picture.
Friday, Oct 02, 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 Councils to Receive Sweeping Planning Powers to Ban New Vape and Betting Shops
Chancellor John Healey Faces Tax and Pension Scrutiny Ahead of Autumn Budget
Metropolitan Police Apologise for Accidental Disclosure in High-Profile Investigation
UK Universities Report Record International Enrolment as Housing Pressure Grows
UK Logistics Firms Monitor Rhine Disruption as Low Water Threatens European Supply Chains
UK Food Industry Warns Inflation Could Approach 7%
UK Introduces Vaping Duty and Mandatory Retail Stamps
Scotland Raises Property Taxes and Expands Child Payment in Annual Budget
Greggs Plans Four Factory Closures With 740 Jobs at Risk
OECD Raises UK 2026 Growth Forecast to 1.1%
UK Inflation Rises to 3.1% as Bank of England Faces Rate Debate
Andy Burnham Criticises Brexit and Says Rejoining EU Single Market Remains an Option
UK Imposes New Sanctions on Russian Military Networks and Propagandists
UK Launches Nationwide Early-Release Prison Scheme
Andy Burnham Says Security Services See Signs of Iranian Involvement in RAF Fairford Incident
Manchester City Found Guilty on Premier League Financial Charges After Independent Investigation
Scottish Court to Rule on Bid to Force No-Confidence Vote Against Aberdeen Council Co-Leader
UK Bans Extra Charges for Seating Children Under 12 Beside Accompanying Adults
UK Introduces Vaping Duty and New Licensing Requirements
Greggs to Close Four UK Factories and Cut 740 Jobs
Hundreds of Prisoners Released Early as England and Wales Prisons Reach 98% Capacity
UK Unveils New Russia Sanctions Targeting War Funding and Shadow Fleet
Burnham Says There Are Strong Indications of Iranian Involvement in RAF Fairford Security Breach
Prime Minister Andy Burnham Raises Prospect of Reviewing Britain's Post-Brexit EU Relationship
Markets Price in Bank of England Rate Increases as Inflation Rises to 3.1%
UK Borrowing Costs Climb Toward 5.5% as Global Bond Sell-Off Intensifies
UK-France One-In-One-Out Migration Agreement Expires as London Seeks Alternative Measures
Southwest England Faces Flood Alerts After Heavy Autumn Storms
UK Expands Funding for Rapid Electric Vehicle Charging Infrastructure
Welsh Government Approves Funding to Upgrade South Wales Transport
Northern Ireland Tensions Rise as Orange Order Rejects Drumcree Compromise
NHS Leaders Back Early Design of Proposed National Care Service
More Than One-Third of Regional UK Universities Face Financial Deficits
UK Current Account Deficit Narrows as Cross-Border Financial Flows Remain Strong
Bank of England and FCA Issue New Rules for Stablecoins and Digital Assets
MI5 Warns UK Universities Over Research Links With Chinese Institutions
UK Energy Price Cap Rises 4% as Electricity VAT Is Temporarily Suspended
Equity Calls for UK Personality Rights to Protect Performers From AI Replication
OpenAI Pauses Advanced Model Training Following Safety Concerns
Scottish Government Proposes Replacing 32 Councils With Larger Regional Authorities
Ofgem Raises UK Household Energy Price Cap by 4% From October
UK Counter-Terrorism Police Continue Investigation After Five Arrests Near RAF Fairford
OECD Cuts UK 2027 Growth Forecast to 1%
Labour Says State Pension Triple Lock Remains Protected Through Current Parliament
Andy Burnham Pledges National Care Service With Free Social Care in England
Six Flags Permanently Shuts Landmark X2 Roller Coaster Following Safety Scandals
Metropolitan Police Rule Out Terrorism in Golders Green Stabbing Investigation
Lithium-Ion Battery Identified as Cause of Fatal Merseyside House Fire
UK Department Rejects New Sea Use Framework Due to Stakeholder Fatigue
Major Thames Water Pipe Burst Causes School Closures in London
×