London Daily

Focus on the big picture.
Wednesday, Jul 01, 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
Inquest Continues in Northern Ireland into Death of Noah Donohoe in Belfast
UK Travel Industry Calls for Suspension of New EU Border System During Peak Holiday Season
Telegraph Media Group Acquired by German Media Firm in £575 Million Deal Completion
House of Commons Warns Northern Rail Upgrade Risks Repeating High-Speed 2 Cost Overruns
UK Transport Unions Warn of Summer Strike Action Over Pay Disputes
UK Health Secretary Calls Maternity Care Review a “Watershed Moment” for NHS Reform
Nigel Farage Faces Questions Over £270,000 Payment Linked to Gold Marketing Firm
Labour Government Faces Internal Division Over North Sea Oil and Gas Policy Direction
National Screening Committee Invites New Proposals for UK Health Screening Programmes
UK and China Hold Industrial Strategy Talks on Trade and Export Growth Opportunities
UK Defence Funding Gap Widens as £4.7 Billion Shortfall Puts Pressure on Spending Priorities
United Kingdom Faces Historic Demographic Shift as Deaths Forecast to Exceed Births in England and Wales
United Kingdom Introduces Major Motability Scheme Reforms Targeting £1 Billion in Long-Term Savings
Global Billionaire Numbers Rise 13 Percent Amid Artificial Intelligence Stock Boom
Body of Fifteen-Year-Old Boy Recovered from Manchester Reservoir
Major Rail Disruption in UK After Cows Stray Onto Intercity Tracks
UK Launches National Campaign to Reduce Water Consumption After Heatwave
Foreign Secretary David Lammy Raises Case of UK Woman Death with US Authorities
Shetland Islands Council Approves Subsea Tunnel Plans Linking Major Islands
Telegraph Media Group Takeover by German-Led Consortium Completed
Resident Doctors in England Accept Government Pay and Conditions Deal
Andy Burnham Sets Out Ten-Year Economic Vision Amid Labour Leadership Debate
Asylum Seekers in UK Face £10,000 Contribution Requirement Under New Law
UK Government Moves to Break Apple and Google App Store Dominance
New UK Steel Tariffs and Import Quotas Aim to Shield Domestic Industry
Damning Report Exposes Failures in Maternity and Neonatal Care Across England
Government Data Reveals Five Billion Pound Shortfall in UK Defence Budget
Prime Minister Keir Starmer Unveils Three Hundred Billion Pound Defence Investment Plan
UK Crime and Policing Act 2026 Comes into Force with New Justice System Reforms
UK Prime Minister Hosts NATO Secretary General Mark Rutte for Security Talks at Downing Street
UK Tightens Oversight of Emissions Trading Scheme Through New Ministerial Directions
UK Issues Statement at UN Security Council on Violence in the West Bank
UK Environment Agency Clears Illegal Waste Site in West Yorkshire After Court Action
UK Resident Sentenced for Fraudulently Claiming £30,000 in Covid Business Loans
UK Launches Taskforce to Help Young People Claim Dormant Child Trust Fund Savings
UK Gambling Commission Fines Betfred Operator Petfre Gibraltar £900,000 Over Social Responsibility Failures
UK Appoints Lord Collins as Global Envoy for LGBT+ Rights
UK Expands Detention Capacity to Support Removal of Foreign Criminals and Failed Asylum Seekers
UK Resident Doctors End Strike Action After Accepting Government Pay Deal
UK Tightens Sentencing for Domestic Killings with 25-Year Starting Point for Murder of Partners
UK to Build at Least Six New Royal Navy Warships Under Expanded Defence Programme
UK Government Unveils £5 Billion Defence Investment Plan Focused on Drones and Autonomous Warfare Systems
UK Economy Records 0.6% First Quarter Growth as Services and Manufacturing Drive Steady Expansion
Welsh Government Unveils New Agricultural Support Plan Focused on Sustainability and Rural Growth
UK Teacher Recruitment Shortfalls Continue in Science and STEM Subjects
Police Scotland Expands Cybercrime Investigations Amid Rising Digital Fraud
UK Universities Warn of Risk to International Student Numbers Amid Visa Changes
UK Defence Ministry Pivots Toward Greater Domestic Military Procurement
UK Launches National Rail Review After Repeated Service Disruptions
Northern Ireland Assembly Debates Long-Term Funding Settlement for Public Services
×