London Daily

Focus on the big picture.
Monday, Jan 19, 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
High-Speed Train Collision in Southern Spain Kills at Least Twenty-One and Injures Scores
Meghan Markle May Return to the U.K. This Summer as Security Review Advances
Trump’s Greenland Tariff Threat Sparks EU Response and Risks Deep Transatlantic Rift
Prince Harry’s High Court Battle With Daily Mail Publisher Begins in London
Trump’s Tariff Escalation Presents Complex Challenges for the UK Economy
UK Prime Minister Starmer Rebukes Trump’s Greenland Tariff Strategy as Transatlantic Tensions Rise
Prince Harry’s Last Press Case in UK Court Signals Potential Turning Point in Media and Royal Relations
OpenAI to Begin Advertising in ChatGPT in Strategic Shift to New Revenue Model
GDP Growth Remains the Most Telling Barometer of Britain’s Economic Health
Prince William and Kate Middleton Stay Away as Prince Harry Visits London Amid Lingering Rift
Britain Braces for Colder Weather and Snow Risk as Temperatures Set to Plunge
Mass Protests Erupt as UK Nears Decision on China’s ‘Mega Embassy’ in London
Prince Harry to Return to UK to Testify in High-Profile Media Trial Against Associated Newspapers
Keir Starmer Rejects Trump’s Greenland Tariff Threat as ‘Completely Wrong’
Trump to hit Europe with 10% tariffs until Greenland deal is agreed
Prince Harry Returns to UK High Court as Final Privacy Trial Against Daily Mail Publisher Begins
Britain Confronts a Billion-Pound Wind Energy Paradox Amid Grid Constraints
The graduate 'jobpocalypse': Entry-level jobs are not shrinking. They are disappearing.
Cybercrime, Inc.: When Crime Becomes an Economy. How the World Accidentally Built a Twenty-Trillion-Dollar Criminal Economy
The Return of the Hands: Why the AI Age Is Rewriting the Meaning of “Real Work”
UK PM Kier Scammer Ridicules Tories With "Kamasutra"
Strategic Restraint, Credible Force, and the Discipline of Power
United Kingdom and Norway Endorse NATO’s ‘Arctic Sentry’ Mission Including Greenland
Woman Claiming to Be Freddie Mercury’s Secret Daughter Dies at Forty-Eight After Rare Cancer Battle
UK Launches First-Ever ‘Town of Culture’ Competition to Celebrate Local Stories and Boost Communities
Planned Sale of Shell and Exxon’s UK Gas Assets to Viaro Energy Collapses Amid Regulatory and Market Hurdles
UK Intensifies Arctic Security Engagement as Trump’s Greenland Rhetoric Fuels Allied Concern
Meghan Markle Could Return to the UK for the First Time in Nearly Four Years If Security Is Secured
Meghan Markle Likely to Return to UK Only if Harry Secures Official Security Cover
UAE Restricts Funding for Emiratis to Study in UK Amid Fears Over Muslim Brotherhood Influence
EU Seeks ‘Farage Clause’ in Brexit Reset Talks to Safeguard Long-Term Agreement Stability
Starmer’s Push to Rally Support for Action Against Elon Musk’s X Faces Setback as Canada Shuns Ban
UK Free School Meals Expansion Faces Political and Budgetary Delays
EU Seeks ‘Farage Clause’ in Brexit Reset Talks With Britain
Germany Hit by Major Airport Strikes Disrupting European Travel
Prince Harry Seeks King Charles’ Support to Open Invictus Games on UK Return
Washington Holds Back as Britain and France Signal Willingness to Deploy Troops in Postwar Ukraine
Elon Musk Accuses UK Government of Suppressing Free Speech as X Faces Potential Ban Over AI-Generated Content
Russia Deploys Hypersonic Missile in Strike on Ukraine
OpenAI and SoftBank Commit One Billion Dollars to Energy and Data Centre Supplier
UK Prime Minister Starmer Reaffirms Support for Danish Sovereignty Over Greenland Amid U.S. Pressure
UK Support Bolsters U.S. Seizure of Russian-Flagged Tanker Marinera in Atlantic Strike on Sanctions Evasion
The Claim That Maduro’s Capture and Trial Violate International Law Is Either Legally Illiterate—or Deliberately Deceptive
UK Data Watchdog Probes Elon Musk’s X Over AI-Generated Grok Images Amid Surge in Non-Consensual Outputs
Prince Harry to Return to UK for Court Hearing Without Plans to Meet King Charles III
UK Confirms Support for US Seizure of Russian-Flagged Oil Tanker in North Atlantic
Béla Tarr, Visionary Hungarian Filmmaker, Dies at Seventy After Long Illness
UK and France Pledge Military Hubs Across Ukraine in Post-Ceasefire Security Plan
Prince Harry Poised to Regain UK Security Cover, Clearing Way for Family Visits
UK Junk Food Advertising Ban Faces Major Loophole Allowing Brand-Only Promotions
×