Patient Attendance Co
For private dental practices

Reduce missed appointments without changing your booking system.

We improve the confirmations and reminders your patients already receive, using changes tested in published trials, then measure the effect in your own practice.

  • No new software, no change of booking system.
  • Every recommended change traces to a named trial.
  • Measured against your own numbers, not an average.

Working with private dental practices across Lancashire.

Reminder text,
rewritten
NHS trial
wording
Before

Reminder: You have an appointment at Abbey Dental on Thursday at 10:30. Reply Y to confirm.

Loss aversion +
scarcity
After

Hi Sarah, just confirming your appointment with Dr Patel this Thursday at 10:30am. If you can't make it, please let us know as soon as possible so we can offer the appointment to another patient. Reply Y to confirm.

Small changes like this have reduced missed appointments in published NHS research. We work out which changes are appropriate for your practice.

Today's diary

A clear view of your day, including the gaps caused by no-shows and late cancellations.

Thursday, 15 May
8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00
Mrs Emma Clarke Hygiene appointment 9:30 – 10:00
No-show 10:15 – 10:45
Mr Daniel Green Whitening consultation 11:00 – 11:30
Ms Sarah Patel Composite bonding consult 11:30 – 12:00
Lunch break 12:30 – 13:30
Cancelled late 13:30 – 14:00
Mrs Laura Bennett Hygiene appointment 14:00 – 14:30
Emergency appointment Mrs Karen Dawson 14:30 – 15:00
No-show 15:15 – 15:45
Mr Simon Leeds Routine check-up 16:00 – 16:30
Mrs Victoria Shaw Invisalign review 16:30 – 17:00
Today's summary
2

empty slots

caused by no-shows
1

late cancellation

could have been filled

Small changes to reminders and confirmations can help reduce these gaps.

The result that started this

One rewritten reminder. A 24% relative fall in missed appointments.

11.1% Before
8.4% After
−2.7pp

of appointments kept that would previously have been missed.

Source: published randomised trial in an NHS trust. Full reference supplied on the call.

3 changes

A small number of changes is usually enough to start testing, without touching your existing patient communications setup. Usually enough to start testing, without touching your existing patient communications setup.

No change of booking system required

3 studies

Our starting points come from PLOS ONE, the Journal of the Royal Society of Medicine and Family Practice. PLOS ONE, the Journal of the Royal Society of Medicine and Family Practice.

Full references available
What we do

We improve the messages your patients already receive.

This happens in practices like yours, every week:

  • A patient forgets a hygiene appointment.
  • Someone cancels a two-hour treatment appointment at 8:45am.
  • Reception has no time to fill it.
  • The reminder went out — but it didn't prompt the patient to do anything.

Most practices already have the tools they need to reduce missed appointments. The opportunity is usually in how those tools are being used. Most practices already have the tools they need. The opportunity is usually in how those tools are being used.

We review your confirmations, reminders, cancellation messages, reception scripts and waiting-room signage, then identify changes supported by published research and test them against your existing approach. We review your confirmations, reminders, cancellation messages, reception scripts and signage, then test changes supported by published research.

What you can expect

  • Recommendations based on published research
  • Changes tested against your existing approach
  • Clear reporting using your own appointment data
  • Practical changes your team can implement
  • Straightforward advice, no jargon

What you won't get

  • Another piece of software to manage
  • A recommendation to replace your booking system
  • Generic best practice copied across every practice
  • Changes rolled out without measuring them
  • Reports that don't tell you what to do next

No extra system for reception to manage

We work with the reminders, confirmations and booking process you already have. There's no app for your team to learn and no new patient journey to manage.

We do the analysis

You don't need to build reports or spend hours working through your DNA data. We'll help you work out the numbers and identify where the biggest opportunities are.

How it works

A simple four-step process.

We work with the systems and communications your practice already uses. There is nothing new for your team to install or learn. We work with the systems your practice already uses. Nothing new to install or learn.

1

Send us your messages

Send us the messages your patients currently receive.

2

We review and recommend

We'll review your confirmations, reminders and cancellation messages, look at where appointments are being lost, and recommend a handful of changes.

3

Nothing else changes

You keep using the same booking system. Your reception team keeps working in the same way.

4

We measure the result

We then look at whether fewer patients fail to attend.

That is much easier for a secretary to relay to the practice manager:

They basically look at all our texts and reminders, change the wording and see whether it reduces DNAs.

That sentence is essentially your product.

Your practice

What are missed appointments costing you?

Three figures give you an indication of the value of the appointments currently being missed.

20600
%

Missed appointments as a share of appointments booked.

£

Whatever you would normally attribute to an occupied slot.

Estimated annual impact
Missed appointments per weekMissed per week 0
Estimated cost per weekCost per week £0
Estimated cost per yearCost per year £0
Potential recovered per year
£0

Based on the same improvement seen in the NHS trial.

Discuss these numbers on a call

For illustration only. The recovery figure applies the same improvement seen in the NHS trial, where missed appointments fell from 11.1% to 8.4%. It is not a forecast for your practice, and actual results will vary. For illustration only. Not a forecast for your practice; actual results will vary.

Changing the wording of one appointment reminder reduced missed appointments from 11.1% to 8.4% in a published NHS trial.

A useful example of what a relatively small change can achieve, and why it is worth measuring the effect rather than relying on guesswork.

The evidence base

Published research gives us a starting point. Your own results tell us what works.

There is good published research into the effect that reminders and small changes in communication have on attendance. We use it to decide what is worth testing, rather than assuming the same approach works for every practice.

Randomised trials

PLOS ONE: reminder-wording trials

How changes to appointment-reminder wording affect attendance and missed-appointment rates.

NHS communications

Journal of the Royal Society of Medicine

How small, low-cost changes to routine NHS communications influence appointment attendance. How small, low-cost changes to routine NHS communications influence attendance.

Real-world practice

Family Practice: implementation study

How reminder changes perform in a real practice rather than under controlled conditions.

Getting started

Start with your existing appointment process.

We begin by understanding how your practice handles appointments today: your missed-appointment rate, and what communications patients already receive.

From there we can decide together whether there is a worthwhile opportunity to improve it. If there isn't, we will tell you.

We begin by understanding how your practice handles appointments today, then decide together whether there is a worthwhile opportunity. If there isn't, we will tell you.

What's included

Six deliverablesSix
  • 01 Review of your current patient communications
  • 02 Analysis of your missed-appointment data
  • 03 We'll recommend the changes most likely to help. Our recommendations are backed by published healthcare research.
  • 04 We'll check whether the changes actually reduce no-shows.
  • 05 Clear findings and recommended next steps
  • 06 All revised wording yours to keep

Could your practice be losing more to missed appointments than you realise?

A short call is enough to look at your current missed-appointment rate, what you already do, and whether there is a sensible opportunity to improve it. If it's already good, we'll say so and leave you alone.

A short call is enough to look at your missed-appointment rate and whether there is a sensible opportunity to improve it. If it's already good, we'll say so and leave you alone.

Book a 15-minute call

  • No preparation needed
  • No obligation, no follow-up sequence
  • You keep any wording we suggest on the call
Book a 15-minute call

Lancashire and the North West. Remote calls available nationwide.