title: A waste of time: non-attendance at out-patient clinics in a Scottish NHS Trust.
abstract: The Patient's Charter states that patients have a responsibility to attend out-patient appointments or to notify the hospital if they are unable to do so. Non-attendance without notification has substantial financial costs for the NHS and may have clinical implications to the non-attender and other patients on the waiting list.
  
  
  OBJECTIVE
  To identify reasons for non-attendance of patients for their first appointment after referral.
  
  
  METHODS
  A survey by questionnaire of a random sample of non-attenders of an NHS trust.
  
  
  METHODS
  Aberdeen Royal Hospitals NHS Trust.
  
  
  METHODS
  Ten per cent of all non-attenders to the Trust out-patient clinics over a twelve month period.
  
  
  RESULTS
  One hundred and fifty five (32%) patients contributed to the survey. Cancellations accounted for 22% (34) of missed appointments with factors relating to illness or treatment, being the most common reason (14; 44%). Patients failing to attend without prior notification stated that hospital administrative problems (75; 57%) and personal administrative problems (31; 23%) were the primary reasons. Clinical speciality, day of the week, the month, availability of a telephone or car, and socioeconomic group were not significantly associated with non-attendance.
  
  
  CONCLUSIONS
  The majority of patients show a responsible attitude to attendance at outpatients when appointments were received. Non-attendance was found to be due to a combination of institutional factors (commonly administrative) and patient factors such as forgetting about the appointment.
authors.affiliation: Department of Mental Health, University of Aberdeen, Aberdeen Centre for Trauma Research, Royal Cornhill Hospital, Aberdeen.
authors.forename: A M
authors.initials: AM
authors.lastname: Hull
authors.forename: D A
authors.initials: DA
authors.lastname: Alexander
authors.forename: F
authors.initials: F
authors.lastname: Morrison
authors.forename: J S
authors.initials: JS
authors.lastname: McKinnon
mesh_terms: D000328:Adult; D001071:Appointments and Schedules; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D008297:Male; D010044:Outpatient Clinics, Hospital; D010342:Patient Acceptance of Health Care; D012017:Referral and Consultation; D012189:Retrospective Studies; D012307:Risk Factors; D012606:Scotland; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires