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DNA Policy Posted on 16 Oct 2017



Wasted appointments are a huge problem throughout the NHS. 

A DNA occurs when an appointment is not attended and the patient has not contacted the practice in advance to cancel or where the cancellation is so late as to make it impossioble to allocate the time to another patient who needs treatment.

The affect of these are

  • An increase in the waiting time for appointments.
  • Frustration of both staff and patients
  • A waste of resources
  • A potential risk to the health of a patient

The practice will monitor DNA's.  If a patient has a third DNA in a 6 month period then the practice will write to the patient reminding them of the importance of first cancelling the unwanted appointments and detailing the consequences of not cancelling.

If, after this, a patient has a further DNA in a 3 month period then this will be discussed at our next clinical meeting and a decision will be made as to the next plan of action taking into consideration mitigating medical problems. 

Our next plan of action may include a further letter or it may be felt by the doctor that there has been a breakdown in the relationship between the GP and the patient and the patient will be notified that they are being removed from the practice list.

If a patient chooses to DNA a book on the day appointment without offering an appropriate reason a request for a further appoointment on that day will be declined

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