London Daily

Focus on the big picture.
Thursday, Oct 22, 2026

Rishi Sunak pledges NHS no-show fines as Liz Truss vows school reform

Rishi Sunak pledges NHS no-show fines as Liz Truss vows school reform

Conservative leadership hopeful Rishi Sunak has said he would introduce a £10 fine for patients who repeatedly miss GP or hospital appointments.

Mr Sunak told the Sunday Telegraph he wanted to be "transformational" and "do something brave and... different".

His rival Liz Truss meanwhile unveiled plans to ensure students who get top grades would automatically be invited to apply to Oxford or Cambridge.

"I can be trusted to deliver as the education prime minister," she said.

The two final candidates for party leader - and prime minister - are setting out their policies and visions as Conservative members prepare to receive their ballots from Monday.

Ms Truss has released a six-point plan targeting reform in the education sector, saying she wants to give "every child the tools they need to succeed".

Among the foreign secretary's proposals is widening access to top universities, and putting less emphasis on predicted grades.

Students would be allowed to apply to universities after receiving their A-level results, under a new post-qualification admissions system, Ms Truss has said.

A similar proposal from the Labour Party in 2019 was welcomed by the Sutton Trust as being potentially beneficial to disadvantaged students, who have lower predicted grades. But education leaders warned that the plan could require a rethink of the academic calendar.

Ms Truss also said that students receiving top grades would be automatically invited to apply to Oxford and Cambridge.

It was not clear how the plans would work in practice, and a source close Ms Truss said details would be reviewed if she became prime minister.

James Turner, chief executive of the Sutton Trust, said it was the "right aspiration" to ensure bright students from every school have a route to Oxbridge.

But he said it may be more effective to expand the use of contextual admissions - where universities reduce their grade requirements for disadvantaged students to reflect that they may be less likely to achieve top grades at school, but can still succeed in higher education.

Ms Truss added that she wants to expand existing academy schools that are high performing, and replace failing establishments with free schools. She also indicated she would end a ban on new grammar schools in England.


No-show fines


Mr Sunak, meanwhile, has set out plans to target NHS no-shows.

He told the Sunday Telegraph patients would be given the "benefit of the doubt" the first time they missed an appointment without providing sufficient notice, but that further absences would incur a £10 charge.

The system would be "temporary" as Covid backlogs were cleared, he said.

The former chancellor gave few details of how the fine system would work, but said: "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."

A source close to Ms Truss said the policy would hit those who were "already worse-off", and give doctors extra work.

Dr Gary Howsam, vice chairman of the Royal College of GPs, said that while patients missing appointments was "frustrating", charging for appointments was "not the answer" and was likely to impact vulnerable patients most.

He added: "It would fundamentally change the principle that the NHS is free at the point of need."

Mr Sunak's team said GPs and hospital trusts would be allowed to use their discretion to waive a fine in exceptional circumstances, for example if a patient had a personal emergency.

As of February, six million people were on NHS waiting lists in England - one in nine of the population.

Ministers have warned that the waiting list for hospital treatment will not begin to fall for two years.

Separately, Mr Sunak has said he wants to reduce the number of empty shops on Britain's high streets and crack down on graffiti and littering.

"I want to slash the number of empty shops by 2025 and make sure that they are turned into thriving local assets, supporting skills, local businesses, economies and creating jobs," Mr Sunak said.

"They will be joined by vital public services - like police stations and job centres."


Both candidates have fired out a glut of policy announcements in recent days.

This race still has weeks to run, but next week is key.

Tory members get their ballots on Monday and both camps expect many members to vote early.

So it's a competition for who can grab the attention of members with announcements like these.

Not all have come with a huge amount of detail - would the school timetable change to accommodate Truss's post-qualification university admissions plans? What system would the NHS use to fine people?

These are all things each side say they'd work out in government.

With lots of new policies, both camps risk increasing pressure to call a general election and get a fresh mandate for them if elected.

For all the talk of new ideas too, whoever wins will have many tasks to finish. Not least, helping people with the cost of living as bills are set to soar again in the autumn.

Mr Sunak and Ms Truss are vying for No 10 after reaching the final stage of the Conservative party leadership contest.

The party's membership will decide who will replace Boris Johnson, with the winner being announced on 5 September.

During the contest, there have been noticeable clashes between the two candidates as they set out their rival visions for the UK's future.

Earlier this month, they set out their plans for the economy and traded barbs over one another's policies.

Ms Truss is ahead of Mr Sunak in the race to become the next Tory leader, according to polls of party members.

She received the backing of former Northern Ireland Secretary Brandon Lewis who told the Telegraph Ms Truss would restore power sharing at Stormont more quickly.

And despite her apparent popularity among Tory members, Ms Truss told the Sunday Times that she is unsure if her parents would vote for her in a general election.

"I think my mum will, I'm not sure about my dad," she said, adding that they disagreed with her about public spending and tax.

Newsletter

Related Articles

0:00
0:00
Close
Parliamentary Inquiry Highlights Urgent Need to Address Housing Shortage as Scottish Completions Hit Eleven-Year Low
United Kingdom and Singapore Sign Comprehensive Financial Agreement to Deepen Digital and Sustainable Market Ties
Greggs Announces Plan to Close Four Manufacturing Facilities and Cut Seven Hundred and Forty Jobs
International Monetary Fund Raises United Kingdom Economic Growth Forecast While Warning of Inflationary Pressures
Energy Security and Net Zero Committee Urges Government to Shift Policy Costs Onto Gas to Lower Household Bills
Housebuilding Across Scotland Plummets to Eleven-Year Low Despite Government Pledges to Tackle National Housing Emergency
Greggs Announces Factory Closures Across Northern England and Scotland Affecting Seven Hundred Forty Jobs
United Kingdom and Singapore Conclude Eleventh Financial Dialogue in Singapore to Deepen Cooperation on Digital Finance and Capital Markets
Energy Security and Net Zero Committee Urges Government to Shift Policy Costs to Gas Bills and Tap Windfall Profits to Lower Consumer Prices
British Broadcasting Corporation Announces Major Cost-Cutting Overhaul to Close Linear Broadcast Services for Television Channels BBC Three and BBC Scotland Alongside Digital Radio Station BBC Radio Four Extra
London Capital Markets Face Renewed Scrutiny After High-Profile Offerings Underperform Post-Listing
Green Party Wins Historic First Westminster Parliamentary By-Election in Gorton and Denton
Environment Secretary Emma Reynolds Unveils Sweeping Regulatory Overhaul for English Water Industry
United Kingdom Health Security Agency Confirms Thirty-Four Cases in Kent Meningitis Outbreak
Ministry of Defence Prepares Heat Pump Subsidy Cuts to Fund Urgent Military Modernization
British and European Union Officials Schedule Long-Awaited Bilateral Leaders Summit for November Twentieth
Bank of England Governor Andrew Bailey Urges Strict Fiscal Credibility to Protect British Bond Markets
United Kingdom Inflation Rises to Three Point One Percent Driven by Escalating Fuel Costs
Profit Warnings Among London-Listed Companies Reach Two-Year High Amid Global Energy Shocks
Chancellor John Healey Signals Targeted Tax Changes on Banks and London Corporate Offices Ahead of Budget
British Government Reallocates Twenty-Five Per Cent of International Climate Finance to Global Biodiversity Projects
Initial British Carbon Border Taxes Set to Undercut Parallel European Union Tariffs on Industrial Imports
Whitehall Prepares National Zero-Interest Loan Initiative to Accelerate Domestic Heat Pump and Solar Adoption
European Union Offers British Automakers Access to Hybrid Vehicle Trade Protections Subject to Strict Regulatory Alignment
British Probation Officers Threaten Widespread Industrial Action After Rejecting Five Per Cent Government Pay Offer
Microsoft Abandons Major British Artificial Intelligence Data Centre Citing Severe National Grid Power Constraints
United Kingdom Inflation Accelerates to Three Point Four Per Cent Ahead of Chancellor John Healey's Inaugural Autumn Budget
Surging Cloned Number Plates Severely Complicate Traffic Enforcement and Police Investigations
Mounting Opposition Challenges Planned Rollout of Autonomous Taxis Across London
Influential Think Tank Urges Rejoining European Union to Navigate Geopolitical Crises
Government Review Recommends Slashing Benefits to Fund Youth Employment Initiatives
Senior Minister Shabana Mahmood Seeks New Law Enforcement Pact With European Union
Airbus Executive Warns Britain Risks Losing Crucial Role in European Space Industry
Exorbitant Electricity Costs Push British Steelmakers to Worst Competitive Position in Three Years
British Food and Beverage Exports to European Union Collapse by Over a Third Since Brexit
Up to Twenty English Maternity Units Face Impending Closure Due to Safety and Staffing Crises
Government Declares Severe Drought Across Southern England Following Record Dry Spell
Corporate Profit Warnings Reach Two-Year High Amid Middle East Conflict and Rising Costs
International Monetary Fund Warns Chancellor John Healey Against Proposed Bank Tax Raid
Northern Ireland Secures Favorable Agricultural Export Agreement with European Union
Scottish Government Approves Major Offshore Floating Wind Farm Near Aberdeenshire
High Speed Two Rail Project Faces Three Billion Pound Cost Escalation on Initial Phase
National Health Service Warns of Winter Capacity Crisis Across English Hospitals
Tata Steel Confirms Two Thousand Job Cuts at Port Talbot to Fund Green Transition
Global Microchip Developer Announces Three Billion Pound Semiconductor Plant in Cambridge
United Kingdom Artificial Intelligence Safety Institute Proposes Mandatory Licensing for Generative Models
United Kingdom Commits Additional Long-Range Weapons and Air Defenses to Ukraine
British Chancellor Overhauls Infrastructure Financing to Bypass Borrowing Constraints
Bank of England Holds Benchmark Interest Rate at Four Point Five Percent
First Minister Rhun ap Iorwerth Confirms Constitutional Discussions Over Welsh Independence During Initial Bilateral Call with Prime Minister
×