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USE CASE | REDUCE DNAS

Reduce DNAs, fill clinics

Our platform reminds patients, takes their answers and moves the appointments they cannot make, so fewer slots go empty and your team handles only the exceptions.

THE PROBLEM

Patients want to attend, things just get in the way

In our Censuswide survey of over 5,000 UK adults who had missed more than one NHS hospital appointment, 93% had wanted to attend.

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No easy way to move
Patients who cannot make a time ring and wait, or say nothing and miss it.
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Too many to ring
Booking teams cannot call every patient, so the calls go to whoever is next.
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Booked too far out
Follow-ups booked months ahead by the calendar, whether or not they are still needed.

OUR RESEARCH

Nearly half who miss once, miss again

We asked 5,003 people who had missed an NHS hospital appointment what got in the way, and 46% had missed more than one (Censuswide, September 2024). The report breaks it down region by region.

DNA Complexities Report

BOOKING AND REBOOKING

Change the appointment instead of missing it

In our survey, 29% of patients who missed an appointment had tried to rearrange but could not get through by phone. These three close that gap.

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Change it from SMS

With Core Communications, patients confirm, change or cancel from the message, and the request lands in a worklist, not a phone queue.

Book into a live slot

With Scheduling Suite, patients book and rebook into live slots from your EPR, and where the integration supports it nobody rekeys the booking.

Follow up when it is needed

With Pathway Transformation, forms and PIFU mean a follow-up happens when what the patient reports calls for it, not because six months have passed.

Image - Notifications and Reminders

THE EVIDENCE

Reminders cut DNAs

Reminders go out on the NHS App, by SMS or by email, timed to each service. The DNA rate steps down almost as soon as they're switched on.

WHERE THE EFFORT GOES

Ring the patients most likely to miss first

Not every patient needs a call, and no team could make them all, so the calls go where they can save a slot.

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Know who to ring first

Smart Centre's DNA Prediction ranks patients by how likely they are to miss, and Clinic Optimiser shows how many more a clinic can take.

Calls your team does not make

Voice Agents book, reschedule and answer routine questions by phone, inbound and outbound, in the patient's own language.

Message the rest again

Your team rings the patients most at risk first, messages the others again and sees which clinics have room to take more.

DNA Predictor has been a key tool in ensuring we are allocating our confirmation caller resources in the most appropriate areas. Since using the model alongside other DrDoctor products, we have seen a 2-3% reduction in Outpatient DNA’s in our Trust. The DrDoctor team have been accommodating and responsive to issues as well as implementing improvement ideas we have raised.

James Goldsbury
Nottingham University Hospitals NHS Trust

WHAT CHANGES

Six things change when the chasing runs on its own

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Confirmations you can act on

When a patient confirms, your team knows rather than assumes. The ones who stay quiet become a work list.

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Clinics can move in one go

When a list moves, every patient hears at once and the replies come back to one place.

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Post where it is needed

A digital letter goes to post after a set number of days, and straight away when the clinic is close.

Image - Replacing confusion with clarity
Calls only for exceptions

Your team rings the clash, the flag and the patient who needs a person, not the whole list.

Image - Engaging patients earlier to avoid missed slots
A start from a patient list

Communications work from a patient list, so a service can start while the integration runs alongside.

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Live from the first week

Broadcasts, validation questions and booking without integration can go live in week one.

Fewer DNAs, one specialty at a time

Patient communications are included as standard, so switching on the next specialty never adds to the SMS bill.