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Patients miss 30,000 appointments at Derriford Hospital in a year, costing £3.5million

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Thursday, September 13, 2012
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Plymouth Herald

PATIENTS missed almost 30,000 Derriford Hospital appointments in the past year, new figures have revealed.

The number equates to more than 80 wasted slots a day – one in 20 of all outpatient appointments.

  1. Derriford Hospital

    Derriford Hospital

According to national estimates, missed appointments could have cost cash-strapped Derriford up to £3.5million last year.

It comes as the hospital wrestles a £54million savings plan over two years amid rising costs, a national efficiency drive and NHS restructuring.

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Hospital bosses urged patients to ensure they turn up when possible and contact the NHS if they are unable to attend.

Derriford released the figures to The Herald as a national report detailed the toll of missed appointments on the NHS.

Ministers said the problem is delaying other patients' care. They called for hospitals to use more innovative solutions to tackle the issue.

Plymouth Hospitals NHS Trust has introduced a telephone reminder service, but managers say more could be done to reduce the "frustrating" number of missed appointments.

They admitted the hospital is also sometimes to blame for empty slots.

Ria George, Plymouth Hospitals patient administration office co-ordinator, said: "In 2011/12 nearly 30,000 patients did not attend their appointments.

"Not only is this frustrating for the staff working in the outpatient clinics whose time could have been spent seeing another patient but also for other patients who are waiting for their appointments and could have perhaps taken one of the available slots.

"We are aware that sometimes there are good reasons why patients are not able to make their appointment, but it's important that they let us know that they are not able to attend or no longer want their appointment at the earliest opportunity.

"This prevents us from having empty slots in our clinics and allows us to offer it to someone else who can make the appointment time. We recognise that there is still work to do, as despite our attempts we still have patients who, for whatever reason, decide not to attend."

Helen O'Shea, Derriford Hospital interim chief executive, said every department has a plan to reduce the number of 'non attendees'. Some compensate by booking a higher number of patients into clinics.

Ms O'Shea added: "However, we do acknowledge that there are occasions where our own internal processes mean that patients may miss their appointments, for example letters may not be sent as quickly as they should or we may not have been informed of a patients change of address, and we are working to resolve these issues."

She added that patients with serious conditions are monitored and recalled if appointments are missed.

Since 2007 a telephone reminder service has contacted patients a week before their appointment. An automated call reminds them of their appointment and asks for confirmation they will attend.

Ms O'Shea urged patients to ensure their GP surgery has their up-to-date contact details, including mobile phone number.

Responding to the national figures, Health Minister Simon Burns said: "It is important that people realise that not turning up for their agreed appointments means other patients' care might be delayed and doctors' and nurses' time could be wasted, costing taxpayers money."

MISSED APPOINTMENTS: statistics

Derriford Hospital figures show 29,269 outpatients appointments were missed out of 498,753 in 2011/12 – a rate of almost 5.9 cent.

Numbers dropped from 30,491 out of 487,994 in 2010/11 – a rate of 6.25 per cent.

Nationally, patients missed 5.5 million hospital appointments last year, according to Department of Health figures published this week.

The figure was more than

10 per cent of outpatient appointments – ie planned appointments where patients do not have to be admitted to hospital overnight.

Derriford bosses said they could not calculate exactly how much missed appointments cost the hospital last year.

It has been reported nationally that missed appointments cost between £60 and £120 in lost revenue – equating to an estimated bill of up to £3.5million for Plymouth Hospitals.

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  • Profile image for BrixhamDes

    by BrixhamDes

    Friday, September 14 2012, 12:35PM

    “WHAT they are not telling you is that Derriford Hospital has "Outsourced" the Appointments system at the Hospital to a private company which is where all the problems lie. I went to Outpatients Reception at Derriford Hospital to try and rearrange an appointment and was told "We do not deal with appointments anymore, you'll have to phone the Contractors to rearrange the appointment". Its a case of the right hand not knowing what the left hand is doing.”

  • Profile image for totallynutty

    by totallynutty

    Friday, September 14 2012, 11:55AM

    “@franklyrich
    Appointment for 9.30am today at fracture clinic. Loads of parking spaces @fiest1406! Seen at exactly 9.30am, sent to X-Ray, seen immediately, sent back to fracture clinic, seen five minutes later. Out of car park at 11.00am, all sorted... no delays, no problems, all very efficent... just a dodgy ankle, but referred to Orthotist and to be seen next week.”

  • Profile image for birdy1943

    by birdy1943

    Friday, September 14 2012, 10:12AM

    “My wife once sat for nearly an hour to be told when she was seen sorry about the wait there has been double booking on that day. So how many of those would have walked out. Also when my wife was due for a serious operation the surgeon secretary gave us a date to go in on a sunday when there is never any intakes on a sunday, we found out from a hospital laundry worker, after an hour in the hospital. We could not find any trace through the hospital staff running around. On monday when we could only contact the Tel no on the letter to be told it was a typing error. She was to report on the tuesday morning. think of all the time wasted by others because the secretary cannot be bothered to check dates. To busy trying to get home early I expect. Not only was the letter not signed by the individual. who admitted it was her i rang she said it was a NHS standard letter so she only had to put the date on it and got that wrong.”

  • Profile image for cajohn

    by cajohn

    Thursday, September 13 2012, 11:56PM

    “How about a hospital park and ride from the George bus depot, that neighbouring piece of land now having houses built on it would have been ideal. The hospital would not like that, it would put money in the pockets of Citybus instead of the greedy carpark company which runs the hospital car parks. They say that the hospital car parks subsidise patient treatment, would they care to publicise the exact figures to show car park profit, running costs and donations to the hosptal. Paying two men just to stand guard at the main car park entrance and turn people away so that they were directed to follow the buses to the exit is not a good way to run things. This was happening on Wednesday at 2.30pm. How many people would have missed their appointment because of this. Luckily I was dropped off at the front door while my partner drove to the B&Q carpark to read the paper till I was ready to be picked up. People driving them selves to hospital do not have that option.”

  • Profile image for blackpot

    by blackpot

    Thursday, September 13 2012, 9:41PM

    “I just wonder how long and how many of those patients were waiting for their appointment before giving up and walking out?”

  • Profile image for Nevman

    by Nevman

    Thursday, September 13 2012, 9:24PM

    “It's just been revealed that patient complaints against Derriford Hospital are way up, so what's Derriford Hospital's response? Complain about the patients!

    Hell of a way to run a health service... into the ground.”

  • Profile image for MissAnthrope

    by MissAnthrope

    Thursday, September 13 2012, 6:45PM

    “Yet another drive by shooting at KFC might have had something to do with that cajohn.”

  • Profile image for cajohn

    by cajohn

    Thursday, September 13 2012, 2:46PM

    “Security guards were turning people away at 2.30pm yesterday, had no choice but to go and park at B&Q and get the bus in.”

  • Profile image for MissAnthrope

    by MissAnthrope

    Thursday, September 13 2012, 1:28PM

    “Surely a person with 30,000 appointments ought to be admitted?”

  • Profile image for irene61

    by irene61

    Thursday, September 13 2012, 11:59AM

    “if they have no good reason patients should be charged”

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