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Should the NHS charge for such things?

(37 Posts)
theworriedwell Thu 04-Jun-26 15:31:36

mokryna

In France you have to pay for meals, full price, even if it is a yogurt, three meals a day.
I also have to pay missed appointments for specialist.
But people are texted/ messaged a week in advance as well as days before hand asking if they would like to cancel free of charge, so there is no excuse.

If I didn’t have someone overnight in the same house/flat where I was sleep after a GA, I would have to pay for the night in the hospital because I was well enough to leave.

I think this would also stop bed blocking as AC have to pay for a level of parents’ care, depending on income, however, parents cannot disinherit children.

What happens if you can't pay? I'm guessing people aren't left to starve.

Charleygirl5 Thu 04-Jun-26 15:27:27

It would cost a fortune to charge people even for simple things because people would have to be employed to take the money and "keep the books" . I think it would be a non-starter. Who would pay, would one have to receive a specific amount of salary or pension? What about the refusnicks?

I spent 3 days in hospital recently and the food was disgusting. The same food every day. I didn't want it when free, and I certainly would not have paid for that slop.

mokryna Thu 04-Jun-26 15:26:53

In France you have to pay for meals, full price, even if it is a yogurt, three meals a day.
I also have to pay missed appointments for specialist.
But people are texted/ messaged a week in advance as well as days before hand asking if they would like to cancel free of charge, so there is no excuse.

If I didn’t have someone overnight in the same house/flat where I was sleep after a GA, I would have to pay for the night in the hospital because I was well enough to leave.

I think this would also stop bed blocking as AC have to pay for a level of parents’ care, depending on income, however, parents cannot disinherit children.

theworriedwell Thu 04-Jun-26 15:21:41

Cabbie21

The number of wasted appointments is disconcerting, though sometimes there is a good reason eg not having received the appointment letter! I think it would be fair to levy a charge the second time an appointment is missed, but I am not sure how it could be implemented. An alternative is being struck off.

As for meals, in theory I would be happy to pay for meals in hospital provided the food was decent. But there will be patients whose conditions need special meals. Should they pay? Surely not? And what about people who refuse to pay and get their relatives to bring food in. I wouldn’t want to be on a ward smelling of curry, for example. ( No, I am not being racist. Curry is a popular dish and easily obtained. I just don’t like it.)

When I had my first baby, 1971, the best meals on the maternity ward were for people who had ticked for Asian menu. We'd all be waiting for all the Asian ladies to get their meals so we could have a curry instead of slop.

theworriedwell Thu 04-Jun-26 15:18:58

I've only missed an appointment once in my 73 years. I hadn't received the letter telling me of the change so I turned up in the afternoon and the appointment had been changed to the morning. It was clear I wasn't believed from the attitude. I was really annoyed I dread to think how I'd have felt if I'd been handed a bill.

MissAdventure Thu 04-Jun-26 15:04:30

I think they wouldn need fo4get their own house in order, first.
Appointment letters arriving a week after the event, urgent refferals arriving 6 weeks after someone has died, etc, neing unable to reach anyone to change or cancel an appointment.
Appointments being made to discuss blood results when you're unable to get a blood test spring to mind...

Tuliptree Thu 04-Jun-26 14:52:36

One of the problems of charging for things like meals or missed appts is that there is a cost attached to it. Records would have to be kept and lots of policy decisions made such as would you be charged in advance or afterwards, what if you didn’t pay? Who would be exempt? What about disputes about quality of food or an appt letter not being received? It would be a minefield and gobble up a lot of staff resources potentially. I doubt the amount of money raised would be worth it.

Cabbie21 Thu 04-Jun-26 12:41:17

The number of wasted appointments is disconcerting, though sometimes there is a good reason eg not having received the appointment letter! I think it would be fair to levy a charge the second time an appointment is missed, but I am not sure how it could be implemented. An alternative is being struck off.

As for meals, in theory I would be happy to pay for meals in hospital provided the food was decent. But there will be patients whose conditions need special meals. Should they pay? Surely not? And what about people who refuse to pay and get their relatives to bring food in. I wouldn’t want to be on a ward smelling of curry, for example. ( No, I am not being racist. Curry is a popular dish and easily obtained. I just don’t like it.)

Rosie51 Thu 04-Jun-26 12:40:55

Dentists do usually charge for missed appointments as do many other services. I'm concerned about charging for missed hospital appointments, the problem is some letters giving hospital appointments are turning up after the date of the appointment. I know this is probably not the case for most but it is becoming an increasing problem.
I wanted to cancel a GP appointment a few months ago. I telephoned the surgery and was in a long queue, after 30 minutes hanging on I rang off and drove to the surgery to cancel in person. The receptionist said they normally only take cancellations by phone 🙄

twaddle Thu 04-Jun-26 12:27:57

Yes, I can imagine it very easily. I think it's precisely what Reform would do.

Basgetti Thu 04-Jun-26 12:27:25

Completely agree. For the first time in my life, I’m 62, I’m ashamed to say I missed a long-awaited dental appointment the day after my husband was taken into hospital, emergency admission. Simply forgot.
I received a text saying as it was the first time, I would not be charged but would be charged for the full cost of the appointment if this happened again. I would be very willing to pay (though I hope it doesn’t, I felt awful!) We’re in Scotland.

Witzend Thu 04-Jun-26 12:21:11

Well, I know it’ll never happen, since no government will ever dare to suggest it, but while I was waiting for a blood test at the GP today, there was something on the screen about the mass of missed appointments, and how many millions it was costing the NHS every year.
So why not charge say a tenner, if people can’t be bothered to turn up, or to cancel?

Then I spoke a Swedish friend (who lived in the U.K. for many years) yesterday - she’s in hospital in Stockholm, having fallen and cracked her sacrum, poor thing, but she mentioned the two nice meals every day, for which she has to pay the equivalent of £9 a day. She had told me about such charges before. They are not a new thing.

They also have to pay for GP and A&E visits, IIRC £20 equivalent, but children and IIRC the elderly over a certain age are exempt.

People so often go on about how much better healthcare provision is in ‘other countries’, perhaps especially the Scandi ones, but can anyone imagine any political party here ever including such things in their manifesto?

‘Free at the point of use’ is such a sacred cow.