Free tool · Nerela

How much are missed appointments really costing your practice?

Missed appointments aren't just a hospital-waiting-list problem. In Ireland's public system alone, over 525,000 outpatient hospital appointments went unattended in 2024, at a cost the HSE puts at roughly 142 NZD per empty slot — and the same dynamic plays out, session by session, in private practice everywhere, New Zealand included. 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 cited for scale: The Irish Times · Irish Examiner

Your practice, in numbers

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

Set this to your own average fee per session — rates vary by qualification, location and whether you work with ACC.
The average number of sessions you actually run in a normal week.
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
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

One avoided no-show a month already covers most of the Professional plan.

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 New Zealand compare.