Playbook, medical practice

How an assistant handles appointment requests at a medical practice

A practice usually runs two booking systems at the same time, and neither of them is visible to an assistant. The useful answer is therefore a description of how the process works, delivered before the visitor adds the sentence that makes it a clinical question.

Why this is not the general answer

The handling pattern for appointment booking holds across every trade. What follows is the part that does not.

  • General practice commonly runs a pre-bookable diary and a set of slots released on the morning at once, so the honest answer describes a process rather than offering a time.
  • Many practices route requests through an online form that is really a triage tool, and pointing at that form is fine while filling it in on somebody's behalf is not.
  • Which member of the team a patient should see is a clinical question here, because the practice team includes nurses, pharmacists and other clinicians alongside doctors.
  • Registration gates everything, since somebody who is not registered cannot be booked at all, which makes it the first fact to establish rather than the last.

How it arrives

  • how do i get an appointment
  • what time do the appointments get released in the morning
  • can i book a telephone appointment
  • do i need to see a doctor or a nurse
  • how far ahead can i book a blood test
  • can i book an appointment for my mum

What has to be indexed for this to work

Material behind this answer
How appointments are arranged hereWhich appointments can be booked ahead, which are released on the day, and which are arranged only after a call. Written as the process a patient follows rather than as a policy statement.
Release times and the routes into themThe time slots open, whether it is by telephone or online, and what happens when they run out. Patients ask this more than any other booking question.
Registration requirementsWho can register, what proof is needed and how long it takes. Nothing else in this cluster works until this is answered.
Booking on behalf of somebody elseWhat the practice requires when a relative or carer books, and where consent comes into it. Vague material here produces disclosure problems later.

The reply

A reply worth copying
Appointments here work in two ways. Some can be booked ahead through the form on our website, and the rest are released each morning by telephone [1]. I cannot book anything or see what is free. Tell me which route you are after and I will point you at the right page, and if this is about a symptom please use the practice number instead so the team can help you properly [2].

It describes both routes, because giving one would be wrong for half the people asking. The limitation is stated once, in plain words, rather than repeated apologetically. The last clause closes the symptom door before the visitor walks through it, which is the whole risk in this pair.

Where it stops

The trigger. The visitor gives a reason for wanting the appointment that contains a symptom, or asks how quickly they ought to be seen.

The handover, worded
I cannot judge how soon anybody should be seen. Please ring the surgery on the number above, and use the emergency number if this is urgent.

It stops answering before it guesses, says who will pick it up, and asks for the one thing that makes a reply possible. Nothing about it reads as a dead end.

Never say this here

Out of bounds

  • Never say an appointment is available, or how long today's wait is.
  • Never advise whether a doctor or a nurse is the right person for a described problem.
  • Never confirm whether a named person is registered at the practice.
  • Never collect symptom details into the message form as though it were a triage form.

Questions

Can it fill in our online triage form for a patient?
No, and it should not appear to. Those forms are read as clinical submissions. The assistant links to the form and the patient completes it themselves.
Is it worth answering booking questions at all if it cannot book?
Yes, because most of these calls are asking how the system works rather than for a specific slot. Explaining the two routes clearly removes a large share of them.
What about somebody booking for a relative?
It can state your requirements for booking on somebody else's behalf. It cannot confirm anything about the relative, including whether they are registered with you.

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