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NHS rule about being late?

116 replies

Ceci693 · 27/03/2026 06:12

So my son had a physio appointment at the local hospital yesterday - he’s been waiting about 12 weeks: he’s 17 so he went by himself - cycled down after school. He had 40 mins to get there. But he went in the wrong wntrance and anyway long story short he was 5 mins late. I believe him as he’s very exact about things! But receptionist wouldn’t let him through: she said if you were more than 1 minute late the appointment was cancelled . He tried to reason with her and explained he came
atraight from school etc but she was adamant and he had to leave. Is this a new thing in the nhs? Bearing in mind that appointments don’t run on time any time I’ve been called for one - which is fine of course. He was quite upset and now has to wait at least 4 weeks - the woman said he would hear something in 4 weeks. What do you think? Is it a thing? And I do believe him as he’s very responsible - and time conscious

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nocoolnamesleft · 28/03/2026 20:46

Gloriia · 28/03/2026 20:19

He was a minute late. I think his incomplete appointment could've accommodated the missing minute.

In the OP it is stated that he admitted to being 5 minutes late. So it was probably later.

Isthisit2025 · 28/03/2026 20:24

Call the manager. This is not acceptable. If they discharge him because of this he will have another long wait. Complain. It is someone being a jobsworth. I work in the NHS and these departments do not have this ruling.

Gloriia · 28/03/2026 20:19

nocoolnamesleft · 28/03/2026 20:04

So, did you want your son to have a rushed incomplete appointment that didn't assess him properly? Or did you want every patient after him to have to wait around?

He was a minute late. I think his incomplete appointment could've accommodated the missing minute.

Drats · 28/03/2026 20:13

I hate that people treat young people like this! Because they know they won’t advocate for themselves. I once got ripped a new bum hole on here for saying I went to the doctors with my 18 year old! But this is why I did because they haven’t acquired the skills to deal with lying, stick-up-their-arse receptionists on a power trip! Of course he shouldn’t have been late and that’s a life lesson. However, if he hadn’t been called in and they were running 5+ mins late with appts (as they almost always are) then of course they should still see him. I think she was lying. You could complain to PALS, from the angle that you are questioning the validity of her claim of anyone who is 1 minute late will have their appt cancelled, not from the point of view of being seen if you’re late because of course sometimes you won’t.

Gloriia · 28/03/2026 20:09

Absolutely ridiculous. Please complain op, this jobsworth needs a bollocking.

Always amuses me how so many in the nhs have crap time management yet have such high expectations of patients.

nocoolnamesleft · 28/03/2026 20:04

So, did you want your son to have a rushed incomplete appointment that didn't assess him properly? Or did you want every patient after him to have to wait around?

JLou08 · 28/03/2026 19:58

It's ridiculous. I've never had an appointment not run late. I had one for my DS at 8.30am last year, I thought surely we will get in on time for this one. Nope, half hour late. If they can't keep to their own appointment times, a late comer really isn't going to mess up the schedules. It's probably an easy way for them to catch up and get finished a bit earlier though!

LovePoppy · 28/03/2026 19:46

mids2019 · 27/03/2026 06:45

I work in radiotherapy and you can't turn patients away if they are late for a fraction of radiotherapy as there are radiobiological conseeinces. The patients are often elderly and have made long journeys. Radiogrpahers stay behind to treat these patients and I sometimes wonder if the rest of the NH S should treat patients with such respect?

If it looks like you will complain of argue the trust has acted to the detriment of a patient you sometimes find slots will magically open.......

Where is the respect for the NHS staff?

ParmaVioletTea · 28/03/2026 12:18

2thumbs · 28/03/2026 12:06

If you’re not 15 minutes early, you’re late

That's certainly the way I was brought up. And you always calculate some time for getting lost into your travel time to a new location.

But I find people who defend lateness are often pretty arrogant about protecting their time at someone else's expense.

2thumbs · 28/03/2026 12:06

If you’re not 15 minutes early, you’re late

Dragonflytamer · 28/03/2026 11:56

ParmaVioletTea · 28/03/2026 08:10

Except for the staff.

people should aim to arrive 5 minutes early, so they’re ready.

Well just would just have to arrive 5 minutes late as well. Or just move the time of the first appointment forward 5 minutes and then would be back to where they should be.

dizzydizzydizzy · 28/03/2026 08:14

I’d write to PALS. While I understand they might need some kind of rule, 1 minute seems crazy. Was there anything in the appointment letter about this?

ParmaVioletTea · 28/03/2026 08:10

Dragonflytamer · 27/03/2026 18:18

If every patient was 5 minutes late consistently it would be ok!

Except for the staff.

people should aim to arrive 5 minutes early, so they’re ready.

Quickdraw23 · 28/03/2026 07:06

midgetastic · 27/03/2026 12:12

He’s five mins late, so the next person is held up and at the end of day the consultant goes home late

… and then gets charged an astounding amount for late pick up from the nursery

This unfortunately is the reality if you have an unlucky day with lots of hold ups in your clinic.

no one ever thanks you for staying late to get things done on your own time. They just complain to PALS if your clinic runs late.

Quickdraw23 · 28/03/2026 07:03

CatchingLeaves · 27/03/2026 13:07

But if theyd already been held up then they could see him anyway as his appointment would be running late?
This sounds like a case of the receptionist knowing a 17 year old wouldnt know enough to challenge it.

If you have been held up 2-3 times already, you can have a backlog of non-clinical work to do - note writing, exercise plans, referrals to send - because you of course leave this stuff til later if you’re running late so that your next patient isn’t waiting even longer while you sit writing notes. I’m saying that in this context if another patient is then late, which might add to this backlog, that is why they may then get turned away. I regularly end up staying late to get this work done because I don’t like to leave my patients waiting past their appointment time unless it’s totally unavoidable.

Im not defending what happened to the OPs son, I think it’s really stupid, and I would have seen him. I’m just trying to offer a perspective of what it’s like to run an outpatient clinic with 10-12 back to back patients and no breathing space for when things start later or take longer than expected - sometimes the pressure builds and then something unfair like this happens.

it also could have been admin staff 🤷🏼

Besafeeatcake · 28/03/2026 00:41

Dragonflytamer · 27/03/2026 07:09

I'm going against the grain here. The appointment time is the time the appointment is meant to start not the time you're meant to arrive. Just like when you get a 10am train. The train leaves at 10am you don't rock up at the station at 10am, you certainly don't rock up at 10:05.

That said it does seem a bit harsh to a teenager who had got a bit lost trying to find the clinic.

Yeah I tend to agree. No one’s time is more important than someone else’s and being late is rude no matter the excuse.

That said, they should have tried to fit your son in.

I’m surprised they didn’t communicate their late policy.

Unfortunately your son was late and they have rules even if you don’t agree the issue isn’t that they won’t budge it’s that your son was late.

aneelli · 28/03/2026 00:35

Put in a complaint for that receptionist, how awful! My dentists appt’s twice I was seen 40mins after my actual appointment time! I used to get physio done and was never seen on time, it’s ok for the to be very late but can’t give us abit of grace

UncharteredWaters · 27/03/2026 23:42

We allow 5 mins of a 15 minute appt.
I used to ‘squeeze them in’ or ‘see at the end’ and quite frankly I got fed up of bulllshit excuses and ungrateful patients and most importantly running late and giving up my family time for the NHS.

Now I’m strict and I’m known for coming to the waiting room and asking the bolshy, ‘I’m always made to wait’ (no your fecking not and how ironic you can’t seee why!!!) patient who demands to be seen, which patient they wish me to cancel so they can have two slots?!

Spidey66 · 27/03/2026 23:29

I work for the NHS and used to see patients at allocated times. I’d give about 15 to 20 minutes grace for late running buses, parking problems, trouble finding the department etc.

Changename12 · 27/03/2026 23:13

Clafoutie · 27/03/2026 20:40

I don’t know, the OP said he is very responsible and I think the parent is the best judge of that. He is almost an adult, and it is maybe good that he is independent.

But not adult enough to allow extra time.

Everybody knows that hospitals are notoriously difficult to find your way around. Some just don’t have enough parking and you need to park somewhere outside the hospital, get someone to give you a lift or go by public transport. You still need to get to your appointment with time to spare. I have often heard 10 mins early mentioned.

Clafoutie · 27/03/2026 20:40

Changename12 · 27/03/2026 13:28

I think both you and your son are being unreasonable.
You are both not taking the appointment seriously. You should arrive 10 minutes early for appointments and allow time if you don’t know the layout of where you are going.
As a parent, I would have gone with a 17 year old.

I don’t know, the OP said he is very responsible and I think the parent is the best judge of that. He is almost an adult, and it is maybe good that he is independent.

BeaLola · 27/03/2026 19:51

I would definitely take up with the hospital.
Last year I had a physio Appt at my local hospital which allowing for traffic is 15 mins from where I work -I left 45 mins to get there to allow for parking - I got there after 15 mins but couldn’t park - rang and spoke to a person to advise them I was driving around trying g to get a space and by the time I found a space and walked to clinic I was just under 5 mins late - I went in straight away and just had my usual 30 min slot less 5 mins which I completely understood

stichguru · 27/03/2026 19:28

I would say it depends what the physio needed to do. Your son absolutely shouldn't make the next patient late, that's unfair. If they needed 30 minutes to do whatever they needed to do with him, then him turning up 5 minutes late meant they couldn't fit in what they needed to do, and so getting him to rebook is fair. Having said that, when I have had physio in the past, my appointment has been a series of exercises. Having a 25 minute appointment instead of a 30 minute one, would have mean missing off an exercise or two, which would have been much better than missing the whole session.

Gettingbysomehow · 27/03/2026 19:22

LamentableShoes · 27/03/2026 19:16

@Gettingbysomehow would you say that the hospital transport is a key factor in the delay? Has this ever been attempted to be tackled to get to the root of the problem?

Goodness me yes. We send in incident forms on every single occasion this happens and its got worse not better. Its great when people come in early which a lot do because it means we can get them in before transport arrives and make some space.

Bearbookagainandagain · 27/03/2026 19:17

1 minute is ridiculous. It took me 20 min to find the physio department at my local hospital (which was, i kid you not, in an out building right by the entrance! But the signs take you all the way through internal corridors, up and down 2 floors, to get to a building that is accessible from the road in 2 minutes...).

They need to allow at least 10 minutes. Particularly since I've never been to a hospital appointment that was actually running on time.