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Practice Management5 min read

Did not attend policy private practice: Consultant rules

Establish a clear did not attend policy in private practice using digital intake forms to communicate late cancellation fees to Irish patients.

Ask Brigid Team
15 October 2026 · Updated 15 Oct 2026

Researched and written by Ask Brigid's AI pipeline and published automatically — not individually reviewed by a person. Useful as a starting point; check clinical, legal and regulatory details against a primary source before relying on them.

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Why a did not attend policy in private practice is essential

A clear did not attend policy private practice keeps rooms financially viable by recovering lost clinic time and protecting the schedule for other patients on the waiting list. Private health insurers in Ireland—including Vhi Healthcare, Laya Healthcare, Irish Life Health, and Level Health—do not cover missed appointment fees, meaning these costs must be recovered directly from the patient under clearly agreed terms. According to The Health Insurance Authority register of undertakings, these insurers provide inpatient health insurance cover but do not reimburse administrative penalties for non-attendance.

For a specialist, such as a urologist running a dedicated flexible cystoscopy list or a prostate biopsy clinic, a missed slot cannot easily be filled at the last minute. The clinical overhead of maintaining sterile environments and scheduling nursing support remains constant regardless of whether the patient arrives. Managing these gaps manually places a heavy burden on administrative staff, which is why having dedicated medical secretary software for private practices is critical to tracking attendance patterns and enforcing practice rules consistently.

Setting fair late cancellation terms for Irish consultants

Irish private practices typically enforce a 24-hour or 48-hour cancellation window, charging either a flat administrative fee or the full consultation rate for missed slots. To ensure these terms are fair and legally enforceable under Irish consumer protection guidelines, they must be clearly disclosed to the patient before the booking is confirmed.

The appropriate window often depends on the complexity of the scheduled session. While a standard outpatient review might only require 24 hours' notice, high-overhead procedures require a stricter policy to allow staff enough time to contact patients on the waiting list.

Cancellation Window Fee Structure Best Suited For
More than 48 hours No charge Standard outpatient reviews and follow-ups
24 to 48 hours Flat administrative fee (e.g., €50) High-volume clinics (e.g., vasectomy reviews, BPH assessments)
Less than 24 hours / DNA 100% of the consultation fee Specialized procedures (e.g., urodynamics, flexible cystoscopy)

Establishing a clear consultant dna policy ireland helps manage expectations, ensuring that patients understand the operational costs involved in reserving specialized clinical slots.

Communicating DNA terms via digital intake forms

The most reliable way to enforce private clinic late cancellation terms is to secure written consent through digital intake forms before the appointment is confirmed. Rather than hiding terms in a footnoted policy or a standard booking email, patients should actively acknowledge the terms during their pre-appointment registration.

Using the MyBrigid patient app, patients can complete their intake forms and review the clinic's cancellation policy on their phone before their visit. This puts the patient in control of their administrative preparation while ensuring the practice has a clear, digital record of their consent. This structured approach to gathering patient consent mirrors other clinical compliance steps, such as those required when recording consultations in Ireland, where transparent documentation protects both the clinician and the patient.

How to collect outstanding late cancellation fees

To collect late cancellation fees without damaging patient relationships, use secure payment links sent immediately following the missed appointment rather than chasing balances over the phone. If a patient refuses to settle an outstanding DNA fee, the practice should reserve the right to decline future non-urgent bookings until the account is cleared.

With Brigid, the clinic can send secure payment links directly to the patient's phone for outstanding invoices, reducing the need for administrative staff to have difficult financial conversations. While some clinics opt to take credit card details at the time of booking to pre-authorise fees, this can introduce unnecessary friction for older patients or those who prefer traditional payment methods. Implementing a did not attend policy private practice requires a balance between firm enforcement and clinical discretion, allowing the consultant to waive fees in genuine emergencies.

Review your current booking confirmation emails today and ensure your cancellation window and fee are clearly stated in bold text.

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