Long Waiting Lists and Poor Attendance - How Can Psychiatry Do Better? a Review of Services in North West Edinburgh

Aims Increasing demand and high rates of non-attendance (DNA) lengthen waiting lists for psychiatric services, a topic significant public political interest. NHS Lothian data between 2009/10 2018/19 averaged DNA rate 19% new patient appointments. Our aim was to analyse the list patients referred routine Consultant-led General Adult Psychiatry outpatient clinic appointment (OPCA) within North-West Edinburgh Community Mental Health Team. The goal identify lost clinical time areas service development. Methods We collected all on OPCA, excluding ‘soon’ or ‘urgent’ appointments those separate Neurodevelopmental Disorder list. OPCA attendances 1st January 2020 2023. In line with Royal College Psychiatrists guidance, we allocated 30 minutes return 60 determine due DNAs. Data were from Analytical Services anonymised in Information Governance Policy. Results 221 an appointment. 52% female (n = 115). longest wait 10 months. Between 2023, 1961 booked. 263 cancelled prior Of remaining, 30% DNAs 505), resulting 505 hours, average 168 hours/year. 9172 1189 advance. 22% 1812), 906 hours 302 Conclusion have direct impact provision. Were our reduce would save 61 will disseminate this information Digital Experience Team support introduction text reminder service, before involving Quality Improvement team explore intervention Furthermore, being placed can be uncertain patients. create pack patients, including local supports emergency contacts. pilot sector disseminating other teams Lothian.