I'd want to know a bit more, I personally respect any appointments I Have and come hell or high water make them or if I can't I have cancelled in plenty of time. I often see notices in my surgery about people and missed appointments and guess this is because its becoming a problem. If it is becoming a problem then something does need to be done about it, but as I say I'd need to know more details on the being struck off angle, but sometimes thats the only message some seem to understand.