Free tool · Nerela

How much are missed appointments really costing your practice?

Missed appointments aren't just a hospital-waiting-list problem — in 2024 alone, over 525,000 outpatient hospital appointments went unattended in Ireland, at a cost the HSE puts at roughly €80 per empty slot. In private practice the maths is just as real, session by session. Enter your own numbers below and see, in seconds, what no-shows cost your practice every month and every year — then download a personalised PDF.

Public-system figures: The Irish Times · Irish Examiner

Your practice, in numbers

Adjust the sliders. Your results update automatically as you go.

Average fee per session €70

Private practice in Ireland typically charges €60–€120 a session (up to €180 for a PSI-chartered psychologist).

Sessions you hold per week 20

The average number of sessions you actually run in a normal week.

No-show rate 12%

The share of booked appointments where the patient doesn't turn up, with no notice.

📉 Reminders measurably cut no-shows. A behaviourally-informed SMS reminder reduced hospital outpatient no-shows by 13% in an Irish Department of Health trial, and a controlled trial in mental health settings (Kaiser Permanente) found an 11% drop from a single extra text — with combined email, SMS and WhatsApp reminders reported to cut no-shows by up to 50% in other health-service studies.Sources: gov.ie, Department of Health · The Permanente Journal, 2022

Weeks you work per year 46

After holidays and time off.

What this is costing you

Estimate based on the numbers you entered.

Estimated annual cost of missed appointments

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Sessions missed per week

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Working weeks lost per year

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worth of empty chairs, added up

What you could do about it

Download your PDF report

We'll put together a short report with your own numbers and what closing this gap could be worth over a year. Enter your email to download it.

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Nerela closes this gap on its own, every week

Automatic reminders by email and WhatsApp the day before, a public booking page that fills gaps at 11pm on a Sunday, and no-shows valued in euro every month in Reports — so you're never guessing what an empty chair is worth. One avoided no-show a month already covers most of the Professional plan.

Start free — 14 days, no card Questions? Chat on WhatsApp

Want the strategies behind the numbers? Read how to reduce no-shows in a therapy practice or see how the software options for psychologists in Ireland compare.