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Charge those who miss appointments

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Missed appointments cost the NHS Patients missing appointments cost the NHS

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Charge those who miss appointments

Interesting article about the nurses voting against GP charges. Everyone seems to have missed the point (people can't see the wood for the trees). Surely the sensible thing is to charge those not turning up for their appointments! Why penalise those who do? I would say though (in the patients' defence), that appointments are made so far in advance (if you can get one at all) that the patient has often recovered, died or forgotten the appointment by the time it comes around.

Anonymous, community nurse, Kent

DNAs cost us an hour a day

I do not agree with charging for appointments in primary or secondary care as it should be a system that is fair and shouldn't depend on affluence. Free to all!I do think that there should be some penalty for missed appointments, of which we have over an hour a day. Our practice has around 1600 registered patients.They are generally demanding and well educated.It makes us mad, as people complain they cannot get an appointment.

What is the solution?

Anonymous, practice nurse, Halstead

Archaic technology affects patient care

Regarding the article on mobile technology concern's among DNs, I have recently moved into community from a university where I was a senior lecturer. I think that, without question, the archaic technology in this sector affects the efficiency of the communication between senior management and staff and this ultimately has a knock on effect to the patient care.

Anonymous, community staff nurse, Cambridgeshire

Investing in the future of community

Great article about the transition from hospital to community nursing. Really excited about the future for community nursing. We need to include some form of preceptorship in this for newly qualified staff who choose to come straight into the community.

Jane Dickinson, community nurse

Peter Carter speech doubtful

I raised my eyebrows at the RCN Congress report. Dr Peter Carter received a standing ovation whilst he talked the talk about investing in nursing. He suggests that the savings that we make on generic prescribing might (that is might) be re-invested in our pay. Fat chance methinks, given the fact that practice staff, including nurses, are mostly employed under terms and conditions set by their GP employers totally divorced from the Independent Pay Review Body recommendations.

We are at breaking point, taking on more and more of our GP colleagues' complex workload for exponentially less pay.

Mandy Clare, advanced nurse practitioner, Dorset

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