The main reason why people fail to attend for their NHS appointments is that they know they won’t be allowed to smoke a ciggie while they are kept waiting.
Rather than punish smokers for failing to attend, surely it would be better to provide them with ‘smoking shelters’ at a minimal cost (say around £60,000) so that they could pop out for a relaxing ciggie during their endless wait to see an NHS official for their routine dose of patronisation.