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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

OP posts:
Mischance · 27/03/2026 13:10

That is ridiculous! Complain via PALS. Five minutes is nonsense! Receptionists need to remember that they are dealing with the public - fallible human beings - and that occasionally small things will go wrong and allowances should be made.

I had something similar happen to me - I was to have a pacemaker fitted and arrived at the hospital in plenty of time. But the information did not tell you that the theatre was way over the other side of the hospital and not to park in the main car park or there would be a long walk. There was a smaller car park by the relevant place but the letter did not say this. Since my heart was not functioning properly that long walk was very slow indeed and I arrived a couple of minutes late to be greeted by unpleasant sarcasm "Hmmm - we thought you weren't coming." I really did not need this, both because I was weak and out of breath by then and understandably a bit nervous about the procedure to come. At least they did do it!!

CatchingLeaves · 27/03/2026 13:07

Quickdraw23 · 27/03/2026 06:29

I work in a physio department. Our appointments are 30 mins; we allow a 10 min grace period. Any longer than that and we have to rebook or our entire diary will then run late for the rest of the day, because 20 mins for a new patient just isn’t long enough to do an effective assessment and offer advice.

generally we run on time, unless someone comes in and we find something concerning like new neurological symptoms or an unaddressed trauma or a domestic abuse disclosure. Those things all have to be dealt with on the spot and will often mean your other patients end up waiting and your clinic runs late. I often try to slot late patients in if I have any space at all, but sometimes it’s not possible.

it seems very harsh to not allow him 5 mins, but if the physio had already been held up several times that day for different things it might be that they just couldn’t allow any more grace. Not necessarily fair!

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.

LamentableShoes · 27/03/2026 13:03

singthing · 27/03/2026 12:39

"he was 5 mins late. I believe him as he’s very exact about things!"

Seems a little odd that it was exactly 5 minutes, and not 7 minutes or 4 minutes or 9 minutes. I say this because "I was only 5 minutes" is the catch-all claim for people who are late, and it is invariably longer.

Also because your son who is presumably hale and hearty enough to cycle to and from school and onto an appointment with 40mins to comfortably make it could have run or jogged the last bit to make up that "5 minutes" - he was obviously close to the correct place.

But unfortunately late is late. And if his 5 minutes was more like 10, then why should other patients and the medical staff be inconvenienced? It is a hard lesson, but then so is life.

The thing OP is questioning is the rule about the entire appointment being cancelled if they are one minute late.
None of what you have suggested has any effect on this.

LamentableShoes · 27/03/2026 13:01

ParmaVioletTea · 27/03/2026 12:26

Just imagine if every patient were 5 minutes late ...

Person A turns up at 10.05, gets 25 mins instead of 30.
Person B turns up at 10.35, gets 25 mins instead of 30.
By the time you see person F, you think you may as well give them the extra 5 mins at the end if the next hasn't turned up until 5 mins past.

So the whole system would need an extra 5 minutes at most.

GiantTeddyIsTired · 27/03/2026 12:55

I once had a dentist try to charge me for being late (when I'd called to say that I was going to be 5 minutes late, and actually made it 3 minutes late).

I pointed out that the previous week (it was an ongoing treatment) I had let someone go in front of me when my appointment was already 15 minutes behind after they'd asked, and that I had never gone into an appointment at their practise on time in the past anyway, and with poor grace, removed the charge (and I moved dentist, as the work they'd done failed within a month)

mumofoneAloneandwell · 27/03/2026 12:41

Youre gonna have to call and sort this op

This receptionist is a dick who probably doesn't like teenagers. I mean they're scary, but this is ridiculous.

Yanbu, sorry to your ds. Shes the receptionist the kids on tiktok make skits about 🙄

singthing · 27/03/2026 12:39

"he was 5 mins late. I believe him as he’s very exact about things!"

Seems a little odd that it was exactly 5 minutes, and not 7 minutes or 4 minutes or 9 minutes. I say this because "I was only 5 minutes" is the catch-all claim for people who are late, and it is invariably longer.

Also because your son who is presumably hale and hearty enough to cycle to and from school and onto an appointment with 40mins to comfortably make it could have run or jogged the last bit to make up that "5 minutes" - he was obviously close to the correct place.

But unfortunately late is late. And if his 5 minutes was more like 10, then why should other patients and the medical staff be inconvenienced? It is a hard lesson, but then so is life.

ScholesPanda · 27/03/2026 12:34

I honestly think it's because he's a teenager and they thought he wouldn't kick up a fuss.

Some people in jobs like that, love a little power trip.

AgnesMcDoo · 27/03/2026 12:32

Sounds like a total jobsworth.

ParmaVioletTea · 27/03/2026 12:26

Just imagine if every patient were 5 minutes late ...

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

Gettingbysomehow · 27/03/2026 12:10

We cant really turn people away here in NHS podiatry because we only see really serious cases. They might have sepsis or a serious bone infection and rescheduling could mean an amputation. We have to hope a colleague can pick some of our work up but lateness does often ruin my day and other patients start kicking off because we're running late.

Cosimarocks · 27/03/2026 12:08

Seems very inflexible. Poor him. Hopefully you’ll get a new appointment soon.

At the same time most medical appointments ask that you arrive 20-15 minutes early (forms etc.) so it’s never sensible to aim to arrive at the appointment time. If you have a 3pm appointment you need to be planning on arriving at 2.40.

SeriaMau · 27/03/2026 11:47

LydiaFunnyGums · 27/03/2026 06:59

That’s definitely what’s lacking in the NHS.
RESPECT

I have an appointment with my consultant surgeon at 8pm next Tuesday.
Personally I have nothing but admiration and huge respect for NHS workers.

LlynTegid · 27/03/2026 11:29

PersephoneParlormaid · 27/03/2026 07:07

I always slot people in as you frequently get people coming early, so it’s not hard to do.

Glad you do that, valuing good timekeeping and also considerate for anyone who struggles with sitting for a long time.

Wish it was the standard practice.

Tulipsriver · 27/03/2026 11:18

remotecontrolledphone · 27/03/2026 06:19

I wouldn't even categorise 1 min as being late. Sometimes you just can't reason with stupid. But I'd send in feedback - I don't believe it's a policy but even if it is - it's stupid!

Really? I'd feel like I was late if I arrived on the dot, surely being on time to an appointment means being there a couple of minutes early to register or sign in?

That being said, things happen and I think they should have been more flexible with OP's son. If they were really pressed for time they could have just reduced his appointment by a couple of minutes.

WhatAPavalova · 27/03/2026 11:02

Doesn’t seem fair if he was 5 mins late for a 30 min appointment.
Having said that 5 mins early is on time.

Tryagain26 · 27/03/2026 10:59

Angrybird76 · 27/03/2026 10:05

Are you sure he was only 1 minute late? That sounds very precise. I work in the NHS and i know no where who would not let someone in for being 1 minute late. You can explore it but I would be prepared to find out 1 minute was not 1 minute. I would explore it though as you do sometimes have receptionists who are a bit police like, but 1 minute feels extreme.

OP said he was 5 minutes late but the hospital's rule is they won't see people if they are more than 1 minute late

ByQuaintAzureWasp · 27/03/2026 10:58

What a stupid woman ... part of the problem with NHS, pay peanuts get monkeys

Tryagain26 · 27/03/2026 10:56

I expect it depends on the hospital. I would imagine most would have let him have the appointment but just made him wait if the patient before him had taken his appointment. He could then have taken that patients appointments. It's a ridiculous rule as anyone could easily be a minute late

Superscientist · 27/03/2026 10:56

I had a CT scan when I was in hospital. I was told in the morning that the scan had been booked at at 9.45 and that porter would come to collect me at 11 to take me for the scan. 🤷🏼‍♀️

Deadleaves77 · 27/03/2026 10:53

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.......

It's not respectful to expect staff to stay late all the time to treat people, its not respectful to make the patients after you late because you didn't turn up on time

Radiotherapy is different because you've got unwell, elderly patients often reliant on transport, but the majority of outpatient appointments its reasonable to turn up on time or at least call through if your stuck in traffic/lost

starfishmummy · 27/03/2026 10:49

Angrybird76 · 27/03/2026 10:05

Are you sure he was only 1 minute late? That sounds very precise. I work in the NHS and i know no where who would not let someone in for being 1 minute late. You can explore it but I would be prepared to find out 1 minute was not 1 minute. I would explore it though as you do sometimes have receptionists who are a bit police like, but 1 minute feels extreme.

My thoughts too, that he was later than he has told his parent.

70isaLimitNotaTarget · 27/03/2026 10:36

When my DC had Orthodontist appointments , if someone wasn't there , the receptionist would phone them. Unless they were at the point of walking through the door , they were a DNA.
They also only allowed after 3pm appoints for Yr 10/Yr11 , so if your child was younger , the parent had to arrange time off to accompany . And parking was rubbish as it was in town.

I work in NHS , we have a 10 minute late policy . But TBH , it is far more hassle for me to argue/reason ( we don't have Receptionist )
If someone is late and I was to say I wouldn't see them , the answer would always be "Well I'm always kept waiting"
It creates a nasty atmosphere
I will see someone then if they don't mention it , I'll say at the end "Now you know you were late today , a lot of my colleagues won't see you if you're 10 minutes late . I saw you but you won't get seen if you're late again"

We do have the repeat offenders though who are always late and come in with a "oh what am I like " attitude .

Taking the next one in only works if the next one is there !
If I am waiting for someone and the next patient is keen to nab there space , I will wait a bit . The patient might be bustin' a gut to get there . If they are pushed out of their time slot they might think " why should I bother "

And the ones who phone up to say they'll be late - It Does Not Stop Time Grin

TigTails · 27/03/2026 10:08

I would be challenging this.

If he had been a professional looking adult who pushed back then that “rule” would not have existed. This receptionist was on a little power trip.

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