PKB can support supports trusts in many ways to optimise outpatient clincals, to , such as optimising outpatient clinics, reducing the amount number of outpatient appointments, reduce reducing missed appointments, support supporting the implementation of a digital pre-assessment pathway and reducing phone call, by calls using PKB key features.

Current Problems

• Large waiting times

• High missed appointment rates

• No digital pre-assessment pathway

• Patients attending an unnecessary appointments

• Appointments are lengthy and expensive

• Patients have no control

• Long waiting times for appointments

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Patients who did not register for PKB had DNA rates of 6.23% of their appointments, while those who did register DNA only 4.05% of their appointments - a 35% reduction. This is the data from nearly millions of appointments over 12 months across 19 providers who store their appointments appointment data in PKB. 

By sending appointment letters digitally with a read receipt and adding appointment data to a patients patient's PKB record, organisations can give patients more chance of being chances to be aware of the appointment.

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Hull University Teaching Hospitals implemented a digital pre-assessment pathway,  sending questionnaires to patients via PKB to determine what level and type of interaction a patient needed ahead of before surgery. The answers are extracted and inputted to a local custom-built dashboard used by the Admin and Nursing team to triage patients. In just the pilot period:

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96 hours of face to face appointments were avoided

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An additional 94 hours of face to face switched to phone calls

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• Since starting the PKB pathway, no PKB patient has had an on-the-day cancellationby the trust due to health reasons.

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Reducing admin/appointments

Swansea Bay Dermatology Team prompts a patient within PKB when they need to book their blood tests, once . Once the test results are returned to the clinician, they conduct this review independently and inform the patient via PKB when their prescription is ready to collect and changes they may have made. They’ve had a 75% reduction in face-to-face outpatient appointments (reduced from 4 quarterly to 1 annual appointmentsappointment). ‘Follow-up not booked’ list of patients eliminated (*reported pre-COVID19)

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HUTH Rheumatology Healthcare Prescription Team uses PKB’s questionnaire feature is used to remind patients to book their blood test to reduce the amount of time the team currently spends printing and sending letters to each patient, as well as the follow-up phone calls to produce prescriptions and the cost of sending letters in the post. Approximately 46 hours per year (1.5 weeks) of admin time is currently saved and able to can be redeployed for other uses. The team is aiming aims to increase this to 2 full weeks of saved admin time saved.

Reducing calls

East Sussex - Uro-oncology Team

Using questionnaires to review patients every 6 six months. The results go through to an

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with every patient, asking the questions and talking through discussing concerns. This has caused a

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Use PKB to allow patients to check their blood test results, which are automatically being

shared via the portal. Patients who are on disease-modifying drugs can securely use the portal to

message the rheumatology team securely if they have queries. This has led to a 75%

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There are key PKB features all services validating waiting list can use. A list of them is below.

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Teams can use PKB’s FHIR trigger API to automate sending questionnaires to service users, and they can use PKB’s FHIR API to extract completed responses back into their Organisation's electronic patient record (EPR) for review.

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