United Kingdom · clinics and outpatient groups

When the waiting area fills before the first letter is typed.

Portalanchorcore sits with session lists, room diaries, and the people who call patients through. We chart waiting time in clinic, unused slots, and DNA as they are actually coded — then write a review your partners can take into a governance meeting.

Read how a clinic operations review runs

Work begins from extracts you already hold in the PAS and from two observed sessions. We do not sell a login or a subscription.

Daylit hospital corridor used by outpatient clinics

Practice managers, outpatient leads, and partners who are tired of unlike figures in the same meeting.

If your group runs ophthalmology, MSK, dermatology, or general surgery lists across one or several sites, you already know which mornings overrun. What is usually missing is a shared definition of DNA, a honest count of unused slots, and a short paper that names the Thursday list rather than “outpatients” as a whole.

“The first slot was a new patient in a follow-up time. Nobody had written that down until someone sat in the waiting area with the printed list.”

From a West Midlands ophthalmology review — see client stories

Clinic operations review

Four to six weeks, one specialty, one site to begin with. Observation, extracts, annotated charts, and a walkthrough with the people who own the rota.

Included: kick-off, twelve-week extracts, two observed sessions, a written review, a two-page board note, and a ninety-minute walkthrough. Starting fee from £4,800 excluding VAT.

Full scope, exclusions, and how to prepare

Nurse walking a clinic corridor between lists

Other engagements that sit beside a first review

Exterior of a medical building used by an outpatient group

Multi-site outpatient comparison

Side-by-side reading of the same specialty across two or more sites in a group: templates, DNA, and how rooms are actually used.

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Clinicians walking a hospital corridor between clinic lists

Operations papers for the board

A short pack of charts and narrative for partners or a board, written in the language they already use for waiting lists and clinic income.

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Clinician speaking with a patient during an outpatient visit

Appointment template study

A close look at new, follow-up, and procedure slots: whether the clock times on the template match how the clinic actually runs.

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Stethoscope and notes on a clinic desk

DNA and unused-slot study

Counts of did-not-attend, late cancellation, and empty slots by day, list, and reminder method — with a note on what the coding actually means.

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We watch the list as printed meet the list as lived.

Reception, the nurse who calls the next name, the room that still has yesterday’s notes on the desk: those are the sources. Charts come after. If a distressed patient needs the waiting area, we leave.

How to brief a team before observation