Clinics lose capacity in the gaps: the patient who never confirmed, the slot nobody refilled, the list nobody asked. We do the chasing.
BY ROLE | OPERATIONAL LEADERS
Treat more people with the capacity you already run
The chasing grows with the list, and the team does not
England ran around 146.1 million outpatient appointments in 2024/25 and missed around 5.6% of them. Every one is a gap somebody had to chase, or a session that ran light.
- Nobody confirmed
- A patient is booked, says nothing back, and the clinic finds out on the day.
- The slot went cold
- Somebody cancels late and the gap sits there, because there is no time to ring round.
- The list went quiet
- A waiting list nobody has time to contact is a list you cannot trust.

The capacity you need is already there
A waiting list that answers when you ask it, follow-ups on clinical need rather than at three, six and twelve months, and a slot offered to somebody else the moment it frees.
Your teams are not left to do the chasing
Reminders, confirmations, validation questions and rebooking offers go out without anyone sending them, and patients answer from the message.


Where patients choose, cancellations move
Give people a way to change the appointment from the message and a missed slot becomes one somebody else can have. Imperial credits operational redesign alongside the tooling.
CASE STUDIES
We build the benefits case with your team
Every trust gets the same standardised calculation, and our work in 70+ NHS trusts and health boards informs the assumptions.
1.6 million patients opt into digital at University Hospitals Birmingham
Learn how University Hospitals Birmingham partnered with DrDoctor to reduce DNAs by 18%, digitise communications, and save 18 hours of admin time weekly.
How a digital patient portal helped Bradford Teaching Hospitals cut nurse callbacks by 30%
Find out how Bradford Teaching Hospitals transformed their rheumatology service, reducing inappropriate calls by 44% and saving 72 nurse hours in just 2 months.
WHAT SITS BEHIND IT
Most trusts start with communications
Communications moves this year's numbers and runs from a patient list, so a service goes live while the connection work runs alongside it.
YOUR ESTATE
We connect through the engine you already run
We hold live integrations with more than 20 distinct trust systems, over HL7, FHIR, API or JSON, and pre-built adapters do most of the transformation work.
Broadcasts, questions and unintegrated booking all start before the feed is live.
Your integration lead sets the date, once we know your EPR and your interfaces.
We read what your EPR says is due and return the result where the integration supports it.
NHS App, SSO, APIs and certification updates are kept live, and we absorb the changes.
Start with communications in one service
The first service goes live measured on its DNA rate and winter premium capacity spend.