Purely bad management.
In our docs there is a sign complaining about us patients not turning up and the amount of wasted time/money that costs.
I said it is a pack of lies - no if no buts - lies.
IF the no turn up cost time -ie the doc was siting there picking his nose - why is it when we make an appointment we get seen,if we are lucky,only an hour after the alloted time (some time 2 hours late).
If lots did not turn up we would be seen on time or even before time.