2. 10% of the worlds GDP is
spent on healthcare.
30% of that is waste.
@WeAreDrDoctor
3. drdoctor.co.uk
3
Right patient, right place, right time
1. DNA rates down by 25-30%
2. Clinic utilisation up by 5-10%
3. Booking administration time down by 20-30%
4. Postage expenditure down by 40-50%
5. Measure and deliver better outcomes
6. Put your patients first
7 million outpatient appointments a year at 11 Trusts
Financial benefits: £2.2m average a year per Trust
On the Information and Technology Payment (ITP) for 2018/19
5. 30
%
6%
7%
8%
9%
10%
11%
12%
13%
14%
-20 -18 -16 -14 -12 -10 -8 -6 -4 -2 0 2 4 6 8 10 12 14 16 18 20
DNA%
Weeks after switch on/switch over
Before After
1: Solve communication problems, and
onboard patients to digital services, using
SMS and email
• Transactional appointment information by
SMS and email, focused on the pertinent
information at that point in the pathway
• 30% fewer DNAs
• 20% fewer phone calls
• 96% patient satisfaction rating
• Prepare patients for the shift to digital
6. 2: Offer online information, wayfinding, letters
• Paperless appointments worth £800k-
1.5m p.a.
• Clarity reduces on the day cancellations
• Collect all pre clinic admin ahead of time
(e.g. maternity booking form – consultation
length can be halved)
• Improves consultation quality
27%
Of patients opt to go
paperless
7. 3: Add workflows and automation
• Patient led online booking and
rescheduling reduces churn and rework by
20%
• Improves clinical flexibility
• Automatically keeping clinics full adds
~6% to throughput
• Example to the right: 2440 extra patients
seen in 9 months
y = 62.563x - 36.746
y = 95.375x - 819.93
-2000
-1000
0
1000
2000
3000
4000
5000
6000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
Before DrDoctor Post DrDoctor Linear (Before DrDoctor) Linear (Post DrDoctor)
8. 4: Finally move to value based encounters
• Collect outcome measures from patients,
who are now digitally comfortable
• Using these against validated pathways
(i.e. ICHOM) to massively reduce follow-
up load
• A 30% reduction in FU in chronic diseases