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GPs adopting 'three strikes and you're out' policy on DNAs


Our surgery wanted to reduce DNA's and started putting up posters with number of DNA's the previous month pleading to avoid DNA's. This led to more DNA's so we decided that it didn't work. We conducted a patient survey regarding the same and a vast majority supported stricter DNA policy and removal from same I'd persistent DNA's. Our PPG discussed same and came up with this -3 DNA's and they get first warning, one more DNA and they get second warning and if they do it again they get the marching orders. We review these for mental illness/ memory problems and personal circumstances before asking them to leave. We also send tappt reminders via smell and allow cancellation via sms . Our DNA's have decreased by 34% over the last 5 years since we started same. Incidentally we had 4 complaints from patients removed via this over the the last 5 years. All were politely but firmly rebutted back written evidence of letters. I don't think NHSE can complain we we have done a survey and involved PPG with the same.

Posted date

22 Dec 2014

Posted time