I used to be a GP receptionist and the worst time wasters weren't the no shows but the hypochondriacs (sorry, those with "health anxiety") it wasn't uncommon for one person to have an appointment once a week for their latest ailment. All bullshit.
That was me once. Health anxiety is a fucking evil thing to go through. I did need help though, just not physically. Thankfully my GP was sympathetic and got me the help of the right kind. In fact, even now I'm much better he still tells me he has no problem seeing me if I'm ever anxious over anything and he would rather I make an appointment with him then sit and panic for weeks on end.
I hate that people think I was a time waster. I will ill, just mentally. I wasn't doing it for attention or anything. It wasn't bullshit, I genuinely believed I needed to see a GP and those appointments were a great time to discuss my mental health.
I work for the NHS. I work in A&E and I also work in many clinics. So many people do not turn up for appointments and it is shocking. I waited 18 weeks to see a dermatologist but I know that in that time there would have been loads of DNAs.
We get a lot of regulars in A&E but every one of them is suffering from a mental health condition of some kind. Some go in for the most ridiculous things but they are triaged and treated accordingly. I worry more when I see posts from people here asking if they should go to A&E when they have a massive open wound or are having palpitations with shortness of breath which is unusual for them, both happened this week on MN.
Once we start charging people for being 'time wasters' we are going to get loads of people who really need to be seen worrying and not going in at all.
I am totally on board with charging those who purposefully abuse ambulance services and miss appointments without canceling, only if that is financially viable for the NHS though of course.