Field notes
These pieces are for practice managers and list leads. They are not essays about “digital transformation”.
The first page of a morning list already shows whether the clinic will run late: mixed new and follow-up, a procedure parked in a ten-minute slot, and a start time that reception cannot honour.
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A single DNA percentage for an outpatient group will not tell you whether people forgot, whether letters went to the wrong address, or whether the clinic cancelled the list and left the code unchanged.
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Utilisation figures that count a consulting room as busy whenever a clinic is booked on the estate system miss the hours when the clinician is in theatre, on leave, or covering another site.
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Partners and non-executive directors do not need twenty slides. They need the specialty named, the month named, the question named, and one chart they can argue with.
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Observation days fail when staff hear about them from a poster. They work when the list lead, reception, and nursing know why you are there and what you will not do.
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