If you do not give adequate notice and fail to attend for an appointment, other patients are deprived from the care that could have been available to them, so we need a minimum of 24 hours' notice should you need to cancel or change an appointment. The NHS does not allow us to charge for repeated missed NHS appointments and does not pay for our wasted time. NHS patients who miss their appointments will lose their place on our NHS list. Private patients will be charged for repeated missed appointments.