Booking patients for hospital admissions: evaluation of a pilot programme for day cases.
OBJECTIVE
NHS patients requiring elective surgery usually have to wait before being treated and are usually told when a date becomes available.


METHODS
18 month pilot programme to enable day case patients to book date of hospital admission at time of decision to operate.


METHODS
24 pilot sites in England with relatively short waiting times and some experience of booking appointments.


METHODS
Proportion of patients with booked or "to come in" date during and after pilot programme, proportion not attending for admission, and proportion waiting > or = 6 months. Comparison of pilot sites with non-pilot sites.


METHODS
National Patients' Access Team established to help pilot sites enable patients to book admission dates. Provision of 9.9m pounds sterling to pilot sites to employ project managers, purchase equipment, buy extra time from clinical and other staff, and invest in information and communications technology.


RESULTS
Proportion of patients with booked or "to come in" date increased from 51.1% to 72.7% between end of March 1999 and end of March 2000, and then fell to 66.2% by end of March 2001. Over the same periods, the proportion of patients waiting > or = 6 months fell from 10.9% to 10.5% and then increased to 11.9%. The proportion of patients failing to attend fell from 5.7% to 3.1% between the first quarter of 1999 and the first quarter of 2000, and then increased to 4.0% in the first quarter of 2001. Pilot sites varied widely in performance during and after the pilot phase. Pilot sites had higher proportions of patients with booked or "to come in" date than non-pilot sites at end of each period.


CONCLUSIONS
Increasing the proportion of patients who book their date of hospital admission is possible, but there are difficulties in sustaining this. Several factors facilitated or hindered the implementation of booking, and the roll out of the programme across the NHS is seeking to incorporate these factors.
McLeod
Hugh
H
Health Services Management Centre, University of Birmingham, Birmingham B15 2RT. h.s.t.mcleod@bham.ac.uk
Ham
Chris
C
Kipping
Ruth
R
D003631:Day Care, Medical / Q000458:organization & administration*; D006801:Humans; D010343:Patient Admission; D010865:Pilot Projects; D015397:Program Evaluation; D013222:State Medicine; D016312:Treatment Refusal; D006113:United Kingdom; D014850:Waiting Lists