£3.1m lost due to outpatient no shows in Derry & across Western Trust

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Almost 18,500 outpatient appointments were wasted in the Western Health and Social Care Trust last year due to patients/ clients not turning up or not giving enough notice, it has been revealed.

The total financial loss of no shows to health and social care locally has been calculated at £3.1 million.

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The Western Trust warned that this is lost capacity and that it has a direct impact on “the efficiency and productivity” of its Outpatients Service.

From January 1 to December 31, 2023 the total number of patients who did not attend their Consultant outpatient appointment, or failed to give staff sufficient notice to make the appointments available to other patients, in hospitals across the western area was 18,498. Each missed appointment cost £170.

The new wing and entrance to Altnagelvin Hospital. (File picture) DER2126GS - 135The new wing and entrance to Altnagelvin Hospital. (File picture) DER2126GS - 135
The new wing and entrance to Altnagelvin Hospital. (File picture) DER2126GS - 135

To help reduce non-attendance, the Trust has in place a system for booking outpatient appointments, where patients are given a choice of dates and times and they can select one that best suits them.

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Patients attending outpatient appointments across the Western Trust area receive a SMS text to their mobile phone or an automated voicecall to their landline, reminding them of their outpatient appointment three days prior to their appointment.

The Trust also has launched a programme of work to review ‘Did Not Attend’ (DNAs) appointments across six specialities areas in Urology; ENT; Orthopaedics; Diabetes; Nephrology and Neurology with the overall aim of reducing the DNA rate, patient on the day cancellations and ensuring patients are treated in a timely manner.

Paul Doherty, Operational Assistant, Directorate of Surgery, Paediatrics & Women's Health said: “We understand that there are many genuine reasons why people are not able to make an appointment however, as these figures show every missed appointment is a lost opportunity for someone else to be seen. The appointment slot is an actual time with a member of our clinical and nursing staff who are dedicated to patient care.

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Altnagelvin Hospital. (File picture) DER2126GS - 145Altnagelvin Hospital. (File picture) DER2126GS - 145
Altnagelvin Hospital. (File picture) DER2126GS - 145

“We are asking for the public’s cooperation in reducing non-attendance for hospital outpatient appointments so that valuable resources and staff time is not wasted, as this will have a significant impact on already overstretched health service.”

"Where possible we would ask patients with an appointment to let the hospital know if they won't be able to attend and to do this at the earliest opportunity and at least 24 hours beforehand.”

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