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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think that if you cancel on the day with the NHS, you should be put to the bottom of the list?

507 replies

SaltAirAndTheRust · 28/08/2025 13:07

Unless you have a good reason of course!

I’ve just started and I’m in my first week, in this week we’ve had multiple cancel due to nerves or just not turning up. Seeing the amount of work that gets them to this point, it’s staggering! I just can’t get my head around it

OP posts:
TheCheekyCyanHelper · 30/08/2025 02:29

SaltAirAndTheRust · 28/08/2025 13:20

Letters do get sent.

Did you miss that they aren't being sent on time?

Purplebunnie · 30/08/2025 00:39

@ErinBell01 I was referred in January for a gynae appointment. Last time I didn't receive the appointment letter, just a stroppy you didn't attend. So having read this thread yesterday I took it upon myself to phone up today. Yes I'm on the list for an appointment, I should get a letter in 10 weeks with an appointment for a month after that. I will give it 12 weeks and then I am phoning up to check.

ErinBell01 · 30/08/2025 00:19

lalaloopyhead · 28/08/2025 13:13

I think if you miss or change 2 appointments that can happen already - my colleagues partner has multiple health conditions and has been threatened with this when they tried to change an appointment (for legitimate reason) and they had missed an appointment because they didn't recieve the letter with date on until the day after they should have been there!

My husband is three weeks post op and still hasn't received his appointment letter! I made him phone up to see if he had an appointment and they told him the date and time over the phone. It was only because he had the same op last year that he knew the procedure!

Purplenotes · 30/08/2025 00:02

JaneGrint · 29/08/2025 22:17

I’d certainly agree that patients should attend appointments whenever possible, and that they should call to cancel when they can’t make the appointment, but I’ve had enough experience with appointment letters being late / non-existent to believe that no shows are always the patients fault.

Once we even got another patient’s appointment letter in with DC’s hospital appointment letter.
And we’ve had text reminders about appointments we hadn’t been previously informed about. Although at least the text reminder scenario gives you the opportunity to call and ask what’s going on. Assuming you can get through to someone on the other end of the line, of course!

The text thing happens a fair bit and is hard when you don’t know what appointment is for. It is almost impossible to find out, no matter how much time you spend on hold and how many messages you leave.

daleylama · 29/08/2025 23:55

MyGreyStork · 29/08/2025 20:23

Well your first mistake was moving jobs and taking a 10k salary drop. Admins don’t make much money in the NHS and most don’t even have GCSEs. Basic skills in literacy are seriously lacking hence why they are so incompetent.

Wow! Lets hope your health holds up

CrimsonStoat · 29/08/2025 23:51

MyGreyStork · 29/08/2025 22:52

And what about when surgeries are cancelled last minute? People have had to organise days off and arrange childcare or transport and showed up early having not eaten anything and it’s not going ahead. You understand why people are angry don’t you?

I truly don't think they do understand. The culture of blaming patients is so strong, as evidenced by the overwhelming majority of posts by staff on this thread.

MyGreyStork · 29/08/2025 22:52

Umbrella15 · 29/08/2025 22:42

Im a nurse working on an elective surgical ward, and where I work if we have a no show, they do go to the bottom of the list or in some cases taken off it all togther

And what about when surgeries are cancelled last minute? People have had to organise days off and arrange childcare or transport and showed up early having not eaten anything and it’s not going ahead. You understand why people are angry don’t you?

Umbrella15 · 29/08/2025 22:42

Im a nurse working on an elective surgical ward, and where I work if we have a no show, they do go to the bottom of the list or in some cases taken off it all togther

JaneGrint · 29/08/2025 22:17

I’d certainly agree that patients should attend appointments whenever possible, and that they should call to cancel when they can’t make the appointment, but I’ve had enough experience with appointment letters being late / non-existent to believe that no shows are always the patients fault.

Once we even got another patient’s appointment letter in with DC’s hospital appointment letter.
And we’ve had text reminders about appointments we hadn’t been previously informed about. Although at least the text reminder scenario gives you the opportunity to call and ask what’s going on. Assuming you can get through to someone on the other end of the line, of course!

KellySeveride · 29/08/2025 22:00

Oldwmn · 29/08/2025 21:55

I think you're right, I knew I'd do it one day. Apologies x

Apology accepted, we all make mistakes ☺️

purser25 · 29/08/2025 21:58

My Mother is 100 I can never tell how she is going to be on the day and I am afraid we have cancelled on the day because she wasn’t up to making the journey.

Oldwmn · 29/08/2025 21:55

KellySeveride · 29/08/2025 21:38

You’ve got me mixed up with the OP there. I’ve been in the job 9 years!

Nor have I advocated for charging people for missing their surgery date baby!

The appointments system is flawed, we outsource the letters which is why they don’t always get out. Once they’ve gone to the system they are out of our control! They get cancelled for any numerous reasons but I can assure you the admin staff you all seem to be running down have absolutely no control over it!

I think you're right, I knew I'd do it one day. Apologies x

thenightsky · 29/08/2025 21:53

When the NHS cancel on you, its most likely down to equipment failing or staff shortages. <bitter experience>

Oldwmn · 29/08/2025 21:53

SaltAirAndTheRust · 28/08/2025 16:50

It’s certainly not what they should be doing. You also do get text messages, they appear on your NHS app and you can and often do get phone calls. I just find it a bit disingenuous to act like you’re never told about appointments

Not everybody has the NHS app . Not everyone has a smartphone. Twice I've had a breezy phonecall giving me an appt only to receive a letter confirming - a different time, a different day &, in one instance, a different place! Do I get to charge for my time wasted in sorting it out? My time & money is important too, I'm not just a piece of meat.

KellySeveride · 29/08/2025 21:49

Cheeky19863 · 29/08/2025 21:46

What about when the NHS cancel on you? I waited 2 years for an operation. I was due in at 11am all ready to go, they rang and cancelled at 9am. I lost pay and had to wait months for a new date 😡

You shouldn’t have had to wait, the rules are 28 days after cancellation on the day. The hospital will have been fined heavily for not re dating you within 28 days not that it makes you feel much better.

Cheeky19863 · 29/08/2025 21:46

What about when the NHS cancel on you? I waited 2 years for an operation. I was due in at 11am all ready to go, they rang and cancelled at 9am. I lost pay and had to wait months for a new date 😡

Oldglasses · 29/08/2025 21:44

I had to cancel a scan on the day - in fact dh called for me as I’d just had a seizure. They were ‘off’ on the phone until he explained and I got an appt 3 weeks later. The 111 Dr that DH rang said I should go to the scan - j was half dead in bed!
Agree that cancelling or not turning up is not good practice and patients would be referred back to their GP or referring consultant - it usually says that in letters

KellySeveride · 29/08/2025 21:38

Oldwmn · 29/08/2025 21:21

Hey, aren't you the clever girl. Well, now you've been in the job for 10 minutes, perhaps you can explain why the overall appointment system is so shambolic? Almost all of the appointments I've had in the last two years have been cancelled & remade at financial loss to me. So it's a two way thing, baby. Should I be recouping my costs from the NHS ? By your reasoning, it would be fair enough!
PS - I wouldn't do it, of course because I'm not a shit even though I, too, have lots of O levels & an A level

You’ve got me mixed up with the OP there. I’ve been in the job 9 years!

Nor have I advocated for charging people for missing their surgery date baby!

The appointments system is flawed, we outsource the letters which is why they don’t always get out. Once they’ve gone to the system they are out of our control! They get cancelled for any numerous reasons but I can assure you the admin staff you all seem to be running down have absolutely no control over it!

Oldwmn · 29/08/2025 21:28

SaltAirAndTheRust · 28/08/2025 17:16

Hospitals get fined for cancelling on the dau and exceeding wait lists though. There’s so much that goes into getting these waits down. Patients get away with no consequences if they just don’t turn up

Yeah, but does that mean I can get my lost train fares/hotel costs. Or the wages my daughter lost because had to drive me to an appointment that was cancelled on the day. No, I thought not.

scissy · 29/08/2025 21:28

Simonjt · 29/08/2025 21:14

My mum recently had a letter for an appointment, the letter was dated (as in the letter, not the postmark) three days after the appointment.

I can go one better. I was once sent an appointment for a date that physically didn't exist think 32nd April or something 😂. I can't remember when the appointment was actually for on the live system.
When I got through to them, even the admin team saw the funny side (they could see the digital copy of the letter they'd sent) and rebooked me.

MyGreyStork · 29/08/2025 21:25

Oldwmn · 29/08/2025 21:21

Hey, aren't you the clever girl. Well, now you've been in the job for 10 minutes, perhaps you can explain why the overall appointment system is so shambolic? Almost all of the appointments I've had in the last two years have been cancelled & remade at financial loss to me. So it's a two way thing, baby. Should I be recouping my costs from the NHS ? By your reasoning, it would be fair enough!
PS - I wouldn't do it, of course because I'm not a shit even though I, too, have lots of O levels & an A level

🙌🏻

Oldwmn · 29/08/2025 21:21

KellySeveride · 29/08/2025 20:43

I am trying very hard not to bite but you are being very twatty.

I am a med sec, grammar school educated with 11 GCSE’s and 2 AS levels. You need to retreat back into your hole!

Hey, aren't you the clever girl. Well, now you've been in the job for 10 minutes, perhaps you can explain why the overall appointment system is so shambolic? Almost all of the appointments I've had in the last two years have been cancelled & remade at financial loss to me. So it's a two way thing, baby. Should I be recouping my costs from the NHS ? By your reasoning, it would be fair enough!
PS - I wouldn't do it, of course because I'm not a shit even though I, too, have lots of O levels & an A level

UtterlyButterly2048 · 29/08/2025 21:19

LlamaNoDrama · 29/08/2025 20:52

Do you have any idea how impossible it is to get MH support? I've had a suicidal child who can't even get seen by CAMHS but yeah sure, we'll just tell them to 'seek support'

Yes I do. But part of the problem is people just not turning up to appointments.

carly2803 · 29/08/2025 21:19

should be charged a cancellation fee every single time £50 unless they have a sick note/note from the aa whatever - proof!

drives me mad people do not care and cancel for stupid reasons

CrimsonStoat · 29/08/2025 21:18

Teddybear23 · 29/08/2025 21:10

I work in the nhs. Every day in outpatients there are about 30 no shows. Thirty appointments that could have gone to a person who has been waiting for a very long time. Most don’t ring with a reason why they are not coming. I think they should definitely be fined and unless they have rung to explain why they can’t come, they should go to the bottom of the list.

Have you listened to any of the people on here who have shared their experiences of not receiving appointment details in time, or being unable to contact departments in order to cancel, or do you just not believe them?

30 no shows indicates massive failures somewhere in the process. Plenty of us have had enough of the NHS blaming patients when their own shortcomings are so obvious.

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