❓ This WA parliamentary question addresses outpatient endocrinology (diabetic) appointment no-shows and the strategies employed to manage them, including filling vacant slots and patient management protocols. It also provides data on no-show rates across various specialties.
AnsweredQoN 3949Legislative Council
QuestionView source ↗
(b) outpatient endocrinology (diabetic) appointment?
AnswerView source ↗
Answered
19 September 2006
Responded by
Parliamentary Secretary representing the Minister for Health
Response time
27 days
Where there are 'no shows', other patients are used to fill appointments as follows: (a) Patients referred from the Emergency Department fill appointment times resulting from patients not turning up for an ophthalmology (eye clinic) appointment. (b) Endocrinology/diabetic appointments - patients with future appointments are contacted to fill vacant appointments resulting from patients not turning up for a scheduled appointment. In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
(a) Patients referred from the Emergency Department fill appointment times resulting from patients not turning up for an ophthalmology (eye clinic) appointment. (b) Endocrinology/diabetic appointments - patients with future appointments are contacted to fill vacant appointments resulting from patients not turning up for a scheduled appointment. In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
(b) Endocrinology/diabetic appointments - patients with future appointments are contacted to fill vacant appointments resulting from patients not turning up for a scheduled appointment. In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
(a) Patients referred from the Emergency Department fill appointment times resulting from patients not turning up for an ophthalmology (eye clinic) appointment. (b) Endocrinology/diabetic appointments - patients with future appointments are contacted to fill vacant appointments resulting from patients not turning up for a scheduled appointment. In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
(b) Endocrinology/diabetic appointments - patients with future appointments are contacted to fill vacant appointments resulting from patients not turning up for a scheduled appointment. In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
In this way, the doctor and nursing resources in the outpatient clinics are used continuously throughout the day. The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
The administrative cost is not absorbed in (a) and (b) as the cost of contacting patients by telephone/letter is incurred for each occasion where a patient does not turn up for a scheduled appointment. All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
All patients who do not attend their scheduled appointment are discussed at end of clinic sessions with the Clinic Consultant. A decision is then made to: · Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Offer another appointment at the next available clinic. · Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Refer the patient back to the General Practitioner. · Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
· Discharge the patient from the clinic. If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
If the decision is made to refer the patient back to the GP or to discharge the patient from the clinic, a letter of advice is sent to the patient. However, if the patient is a frequent attendee to outpatient department by nature of their illness then a repeat appointment is automatically given, to ensure that patient management is maintained. 2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
2. A total of 15,779 patients did not arrive for their scheduled outpatient clinic appointment during 2005/2006. The following table details the 'no shows' by department. SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
SPECIALTY TITLE DID NOT ARRIVE BREAST ASSESSMENT CLINIC 189 CARDIOVASCULAR 344 DERMATOLOGY 420 DIABETIC 892 DIALYSIS 3 EAR,NOSE & THROAT 515 ENDOCRINOLOGY 254 GASTROENTEROLOGY 278 GENERAL MEDICINE 190 GENERAL SURGERY 914 GERI 453 HAEMATOLOGY 283 HEPATOLOGY 633 IMMUNOLOGY ALLERGY 463 INFECTIOUS AND TROPICAL DISEASES 13 MEDICAL ONCOLOGY 392 NEUROLOGY 442 NEUROSCIENCES 800 NEUROSURGERY 501 NUTRITION AND DIET THERAPY 117 OPHTHALMOLOGY 2,305 ORTHOPAEDIC SURGERY 1,306 PAIN MANAGEMENT 868 PALLIATIVE CARE OUTPATIENTS 21 PLASTIC SURGERY 937 PREADMISSION CLINICS 317 RENAL DIALYSIS 313 RESPIRATORY MEDICINE 564 RHEUMATOLOGY 365 THORACIC SURGERY 63 ULCER 275 UROLOGY 349 TOTAL 15,779
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