Patients that do not keep appointments and do not cancel them cost the NHS millions of pounds, they also waste the doctors time and deprive another patient of an appointment.
We all accept that people can forget appointments. However patients who DNA twice in fairly close proximity will receive a letter informing them that if they continue to DNA without contacting the Practice, then they may be removed from the Practice list. Should this occur, a discussion will take place with the patient's usual GP. The decision whether to remove the patient will be taken on a case by case basis. If the decision results in removal:-