Perhaps a good idea to charge for missed appointments- same as hairdresser's or nail salon, or indeed dentist's. Not the full cost, but significant enough to 'concentrate the mind'. 25 for GP, 50 for out-patients and 250 for operation. NHS should continue to be free for treatment, but not missed treatment.
If someone is not able to go out and attend surgery, and therefore only has home visits (which are like gold dust these days) - are can it be that they are out when doctor calls?
I hope the new PM is kind to Larry the Cat
A quote for those blessed with a spouse:



