Petition Introduce a refundable deposit for booking NHS appointments

Introduce a flexible, refundable booking deposit for NHS appointments, where patients would pay a small amount (e.g. £5) when booking and is refunded if they attend or cancel within a set notice period (e.g. 48 hours). The deposit would be kept by the NHS only if they do not attend or cancel late.

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Missed NHS appointments cost hundreds of millions of pounds, with estimates of up to a billion each year. It can also waste limited clinical capacity. A small refundable deposit could encourage attendance without charging patients for care.

We believe similar systems work in the private sector. With clear exemptions for vulnerable patients, this could reduce no-shows, free up appointments faster, improve efficiency, and protect NHS resources for those who need them most.

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