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Analysis for clinics, practices and anyone booking appointments.

The rate most practices quote counts three different things, and the strongest predictor is a field most exports leave out.

  • Read6 min
  • Sections4

How do I work out my real no-show rate?

Count one thing rather than three. Most booking systems record did-not-attend, late cancellation and clinic-initiated changes in the same status field, and they cost a session, a phone call and nothing respectively. Separating them commonly halves the headline rate, and the smaller number is the one you can act on.

01

Three events, one status field

Did not attend, cancelled late and we filled the slot, and we moved it ourselves are all written into the same column. Only the first cost you a session.

Separated, a headline of 22.4% becomes 11.4% in one worked example. That is not a cosmetic improvement: it changes whether the problem is worth an intervention at all.

02

Booking lead time is usually the answer

How far ahead an appointment was made is typically the strongest predictor in the file, and it is the field most exports bury or omit.

Where it exists, the pattern is usually monotonic across bands and holds within every clinician and appointment type, which is what distinguishes a real driver from a coincidence. If your export lacks the booking timestamp, it is worth going back to the system for it.

Appointments booked more than 60 days out were missed at 3.9 times the rate of those booked within a week.

03

Utilisation needs the rota, not the bookings

Dividing attended sessions by booked sessions produces a figure that cannot fall below a hundred per cent except through no-shows, and therefore says nothing about capacity you failed to sell.

The denominator has to come from the rota, with blocked administrative time excluded and walk-ins kept out because they occupy a slot that was never offered.

04

What the export needs to contain

One row per appointment with an outcome status, and the field that matters most: the date the appointment was booked, not only the date it was for. Most booking systems can add it and most default exports leave it out.

A rota or session template turns booked volumes into utilisation. Without it, attendance and demand patterns still work and utilisation is reported as unavailable rather than divided by whatever number happens to be present.

See it on a real project

The 22.4% rate combined three different events; the unrecovered no-show rate was 11.4%.

Why is our no-show rate 22%?

Related

Try it on your own file.

Every check described here runs automatically, and your first findings arrive in full before you pay for any of it.

No account needed to start. You only pay when you like what you see.