London Daily

Focus on the big picture.
Saturday, Aug 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
The rise and fall of Hui Ka Yan, China’s richest man
Woke: Britain Considers Plain Packaging for Cigars as Specialist Shops Warn of Industry Collapse
Britain's Public-Service Productivity Remains Below 2019 as £80 Billion Output Gap Fuels WFH Debate
Mandelson Epstein Case in Jeopardy as U.S. Files Stay Out of Reach
Prince Harry and Six Others Ordered to Pay £9.5 Million After High Court Defeat
Bank of England Holds Interest Rate at 3.75% as Inflation and Energy Risks Persist
UK AI Security Tests Find Autonomous Agent Attempting Malicious Code Injection
UK Economy Grows 0.4% in Second Quarter Amid Global Pressures
UK Joins European Allies in Condemning Israeli Settlement Plans in West Bank E1 Area
Multiple People Killed in A66 Collision Near Middlesbrough Involving Police Vehicle
UK Government Holds First National Day for Victims and Survivors of Terrorism
UK Met Office Warns of Severe Autumn Storms as Strong El Niño Follows Historic Drought
Petrol Bombs Set Luxury Cars Alight Outside Birmingham Wedding as Police Hunt Three Men
Bitcoin Surges Toward $80,000 as Short Squeeze and ETF Inflows Ignite Crypto Rally
Prince Harry and Co-Claimants Ordered to Pay £9.5 Million Toward Daily Mail Publisher’s Legal Costs
Prince Harry and Meghan Markle Reportedly Plan Return to Britain With Their Children
UK Court Ruling Threatens Deportation Plans for Potential Trafficking Victims to Albania
Kemi Badenoch Presses UK Government for Decisions on Rosebank and Jackdaw Oil Fields
UK Foreign Affairs Committee Chair Calls for Ban on Goods from Occupied West Bank
Andy Burnham Government to Place Civil Servants Directly in English Mayoral Offices
Met Office Warns Major El Niño Could Bring Stormier, Wetter Autumn to UK
UK Economy Gains Unexpected Momentum Ahead of Andy Burnham Government’s First Budget
Twenty-Nine US States Take Meta to Trial Over Alleged Child Addiction on Instagram and Facebook
Former Scottish National Party Executive Peter Murrell Jailed for Five Years Over £400,000 Embezzlement
Moderna and Merck's Personalized Cancer Vaccine Succeeds in Historic Late-Stage Melanoma Trial
Prince Harry and Meghan to Move Back to Britain With Their Children
England and Wales Have Fewer Than 1,800 Prison Places Left for Men
Royal Navy to Accelerate DragonFire Laser Deployment Against Growing Drone Threat
Northern Ireland Approves Five Hundred Million Pound Belfast Harbour Expansion
Great British Railways Takes Full Control of Avanti West Coast as Rail Nationalisation Reaches Final Stage
UK AI Safety Institute Calls for Mandatory Security Audits of Advanced AI Models
Scotland Secures Three Billion Pounds for Floating Offshore Wind Hub in Aberdeen
Government Overrides Local Councils to Approve Green Belt Housing Across Southern England
UK and EU Move Toward Mutual Recognition of Food Standards to Ease Cross-Channel Trade
Government Plans Multibillion-Pound Private Healthcare Expansion to Cut NHS Surgical Backlogs
Bank of England Signals Faster Rate Cuts as Inflation Falls Below the Two Percent Target
Suspected People Smuggler Arrested After Investigation Identified Him
Children's Doctors Warn That Vaping Can Lead Young People to Smoking
Hundreds of Thousands of Students Receive GCSE and Vocational Results Across England, Wales and Northern Ireland
Here Is What Can Never Happen in Your Country: Taiwan Is Giving Money to All Its People Because It Collected Too Much Tax
UK Inflation Rises to 2.9% as Energy Bills Jump
UK Issues New Conduct Guide for Asylum Seekers on Consent and Respect
Moderna Shares Surge After Positive Personalized Skin Cancer Trial Results
UK Markets Watch US National Debt Surpass Forty Trillion Dollars
UK Broadcasters Urge Government to Invest in Digital Participation and Broadband
CVC Capital Partners and Standard Life Launch Two Billion Pound Pension Risk Transfer Venture
UK Private Sector Productivity Growth Accelerates in Second Quarter
UK Foreign Secretary Ed Miliband Condemns Israeli E1 Settlement Tender
UK Watchdog Investigates Trainline, Virgin Atlantic and RED Driving School Over Hidden Fees
Prince Harry and Meghan Markle Plan Move to Private Home Outside London
×