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Gastroenterology & Endoscopy
Ophthalmology
Dermatology
ENT and Audiology
Neurology
General surgery
Vascular surgery
Urology
Radiology
Gynaecology
Working with us
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Working with us
Clinical Staff
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Case Studies
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Consultant Activity Report
Name
*
Hospital
*
-- Please select --
Abergele Hospital
Andover War Memorial Hospital
Ashford Hospital
Basildon
Basildon University Hospital
Basingstoke and North Hampshire hospital
Benenden Hospital
Birmingham City Hospital
BMI The Chaucer Hospital
Broomfield Hospital
Cannock Chase Hospital
Canvey NHS Outpatients Centre
Charing Cross Hospital
Cheltenham Hospital
Churchill Hospital
Colchester Hospital
Darlington Hospital
Denmark Hill
Denmark Hill DSU
Derriford Hospital
Dorset County Hospital
Evesham Community Hospital
Fairfield General Hospital
Glan Clwyd Hospital
Gloucestershire Royal Hospital
Homerton University Hospital
Ipswich Hospital
Kent and Canterbury Hospital
King George Hospital
Leigh Infirmary
Lewisham Hospital
Lymington New Forest Hospital
Malvern Community Hospital
Medway Maritime Hospital
New Cross Hospital
Oaks Hospital
Orsett Hospital
Poole Hospital
Princess Alexandra Hospital
Princess Royal Hospital
Princess Royal University Hospital
Queen Alexandra Hospital
Queen Elizabeth Hospital Birmingham
Queen Elizabeth Hospital- Woolwich
Queen Elizabeth The Queen Mother Hospital
Queen's Hospital
Royal Bournemouth Hospital
Royal Stoke University Hospital
Russells Hall Hospital
Salisbury District Hospital
Southampton General Hospital
Southend University Hospital
St Marks Hospital
St Richard's Hospital
St Thomas' Hospital
The Grove
The Princess Alexandra Hospital
Torbay Hospital
Will Adams NHS Treatment Centre
William Harvey Hospital
Worthing Hospital
Wrexham Maelor Hospital
Ysbyty Gwynedd
Other
Specialty
*
-- Please select --
Endoscopy
Endoscopy Triage
Ophthalmology
Ophthalmology Triage
Cataracts/Oculoplastics
ENT Outpatients
Surgery-ENT
Dermatology
Neurology
MinorOps
Gastro Clinic
Oral
Oral Surgery
Oral Surgery Clinic
General Surgery
Oral LA List
Oral GA List
Oral Clinic & LA
Oral Clinic & GA
Urology
Days worked
*
Select All
Sat
Sun
Mon
Tues
Wed
Thu
Fri
Sat date
DD slash MM slash YYYY
Sun date
DD slash MM slash YYYY
Mon date
DD slash MM slash YYYY
Tues date
DD slash MM slash YYYY
Wed date
DD slash MM slash YYYY
Thu date
DD slash MM slash YYYY
Fri date
DD slash MM slash YYYY
Was this a full day or half day?
*
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Full day
Half day
Staff
Name
Room Number
Day(s) worked
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Cancellations
Patient ID
Reason
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Adverse Incidents/Complications/Serious Incidents/Never Events
Patient ID
Briefly describe incident type
Confirm incident form fully completed
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Patients of Concern
Endoscopy
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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Patients.
Add Patient
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Endoscopy Triage
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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Patients.
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Maximum number of patients reached.
Ophthalmology
Date
Consultant Name
Surgery/Procedures
Urgent
Actions
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Patients.
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Ophthalmology Triage
Date
Consultant Name
Surgery/Procedures
Urgent
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Cataracts/Oculoplastics
Date
Consultant Name
Patient Identifier Hospital Number
Urgent
Actions
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Patients.
Add Patient
Maximum number of patients reached.
ENT Outpatients
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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Patients.
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Maximum number of patients reached.
Surgery-ENT
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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Patients.
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Maximum number of patients reached.
Dermatology
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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Patients.
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Maximum number of patients reached.
Neurology
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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There are no
Patients.
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Maximum number of patients reached.
MinorOps
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Gastro Clinic
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Oral
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Oral Surgery
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Oral Surgery Clinic
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Actions
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Patients.
Add Patient
Maximum number of patients reached.
General Surgery
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
Actions
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There are no
Patients.
Add Patient
Maximum number of patients reached.
Oral LA List
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Urgent
Actions
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Delete
There are no
Patients.
Add Patient
Maximum number of patients reached.
Oral GA List
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Urgent
Actions
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Delete
There are no
Patients.
Add Patient
Maximum number of patients reached.
Oral Clinic & LA
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Urgent
Actions
Edit
Delete
There are no
Patients.
Add Patient
Maximum number of patients reached.
Oral Clinic & GA
Date
Consultant Name
Patient Identifier Hospital Number
Type of Concern
Urgent
Actions
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Delete
There are no
Patients.
Add Patient
Maximum number of patients reached.
Urology
Date
Consultant Name
Surgery/Procedures
Type of Concern
Urgent
PSA
Repeat PSA
Actions
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Patients.
Add Patient
Maximum number of patients reached.
Endoscopy Specific Data - Total number of Procedures Performed - Saturday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Sunday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Monday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Tuesday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Wednesday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Thursday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Endoscopy Specific Data - Total number of Procedures Performed - Friday
Colonoscopy
Flexible Sigmoidoscopy
Gastroscopy
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Clinic - Saturday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Saturday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Sunday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Sunday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Monday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Monday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Tuesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Capacity - Surgery/Procedures - Tuesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Tuesday
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No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Wednesday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Capacity - Surgery/Procedures - Wednesday
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No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Wednesday
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Wednesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Wednesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Capacity - Surgery/Procedures - Wednesday
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No. patients cancelled
No. of additions to list
No. patients treated
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Capacity - Surgery/Procedures - Wednesday
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No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Wednesday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Clinic - Thursday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Capacity - Surgery/Procedures - Thursday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Clinic - Friday
Total No. of patients booked
No. New Patients Seen
No. Follow ups seen
No. patients DNA
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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There are no
Entries.
Add Entry
Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
Actions
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Entries.
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Maximum number of entries reached.
Capacity - Surgery/Procedures - Friday
No. of patients booked
No. patients DNA
No. patients cancelled
No. of additions to list
No. patients treated
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Admin/Triage
Total Admin/Triage Received from Trust
Total Admin/Triage Completed in allocated time frame
Total number of admin/triage received from the Trust
Relating to previous incomplete episode. i.e. incomplete information requiring a further review
Comments
Virtual Clinic - Saturday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Saturday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Saturday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Saturday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Sunday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Sunday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Sunday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Sunday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Monday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Monday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Monday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Monday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Tuesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Tuesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Tuesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Tuesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Wednesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Wednesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
Comments
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Virtual Clinic - Wednesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Wednesday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Thursday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Thursday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Thursday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Thursday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Friday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Friday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Friday
Total Number of Patient reviewed
Total Number of patients spoken to by telephone
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Virtual Clinic - Friday
Total Number of Patient reviewed
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Please use this area to detail any other important feedback which may impact on future service delivery
*
If the lists ran with significant delays, please provide the reasons for this and explain the actions you took to prevent Trust/patient complaints. Please comment on whether all referrals were appropriate for 18 Week Support lists. Please also detail any staffing issues
Please report any issues with booked Accommodation below
Please outline any issues or concerns that affected the day
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Date Completed
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