Health Secretary to unveil 'death of the doctor's letter' in digital first switch to help slash NHS postage bills

Daily Mail​

07-06-2025

Ministers will today announce the death of the doctor's letter in a bid to slash NHS postage bills.
Health Secretary Wes Streeting will unveil plans to switch to a 'digital first' system, with almost all patient communications made via the NHS app.
The move, agreed as part of next week's spending review, will mean most patients will no longer receive letters about appointments, check-ups and screening dates.
People unable to use the app will be able to continue receiving a postal service, but only as a 'last resort'. The Department of Health said the move would lead to the NHS sending out 50 million fewer letters a year, saving £200 million on stamps and envelopes.
However, critics warned it could disadvantage millions of older people who struggle with the latest technology.
Dennis Reed, director of the Silver Voices campaign group, said the move would accelerate the trend towards digital communications that risks turning some older people into 'second class citizens' and could result in vulnerable patients missing appointments.
Last night Mr Streeting insisted that 'modernising' communications would 'put power in the hands of patients'.
'People are living increasingly busy lives,' he said, 'and want to access information about their health at the touch of a button, rather than wait weeks for letters that often arrive too late.
'The NHS still spends hundreds of millions of pounds on stamps, printing, and envelopes. By modernising the health service, we can free up huge amounts of funding to reinvest in the frontline.'
Health sources said Royal Mail had become so unreliable in parts of the country that some letters didn't arrive until after appointment dates or else people didn't open their post in time.
Mr Reed told the Mail: 'Many older people do not have smartphones and many of those that do only use them for making calls. There are still a lot of people who do not know how to use apps or who physically cannot navigate them on a tiny screen.
'If you try to force them to use an app then people will miss messages and vital appointments.'
Caroline Abrahams, director of Age Concern, said technology brought 'many potential benefits', but added: 'This is a big risk because millions [of older people] do not use computers at all, or only do so for limited purposes.
'If the NHS app is to become the default, then this major change must be accompanied by many more opportunities to help people of all ages to go online if they wish to do so.'