Structured pathway preparation for GIRFT outpatient and theatre productivity
MyPreConsult and MyPreAssess move patient history capture, risk screening and pathway preparation upstream. Supporting clinician-led standardisation, triage and productivity improvement.
Talk to our clinical teamOutpatient preparation and perioperative preparation
MyPreConsult
Patients complete a structured, adaptive clinical interview on their phone before the appointment. Clinicians receive a specialty-specific summary before the patient arrives.
- Pre-appointment triage and pathway allocation
- Supports clinician-led straight-to-test decisions
- Follow-up reduction and PIFU support
- Workforce matching across clinical roles
- More decisive first appointments
MyPreAssess
Patients complete a structured health questionnaire after the decision to operate. Clinical teams receive flagged risk categories and routing recommendations before POA.
- Earlier identification of comorbidity, frailty and medication issues
- Reduced avoidable postponements and cancellations
- Routing to nurse, anaesthetic or pharmacy review
- Standardised intake across surgical hubs
- A pool of surgery-ready patients for scheduling
How this maps to current priorities
| GIRFT priority | What we support |
|---|---|
| Reducing variation | Standardised, specialty-specific question sets for consistent information capture across clinicians and sites |
| Elective recovery | Earlier pathway preparation and clinical readiness before first appointment or surgery |
| Outpatient transformation | Pre-appointment structured history, triage support, straight-to-test enablement, follow-up reduction |
| Theatre productivity | Earlier risk identification, fewer avoidable cancellations, day-case screening, assessment-complete patient pool |
| Follow-up / PIFU | Digital pre-review symptom capture, stability assessment, clinician decision support for PIFU or discharge |
| Surgical hubs / HVLC | Standardised digital intake across high-volume pathways and multiple feeder sites |
Clinical modules
Each module uses condition-specific adaptive logic, validated screening instruments and specialty-appropriate red flag detection, built with practising NHS clinicians.
Sleep medicine
OSA, Epworth, drowsy driving, occupational risk, CPAP follow-up
MSK
10+ presentations, red flags, functional impact, psychosocial screening
Respiratory
Breathlessness, chronic cough, asthma, occupational exposure
Ortho pre-op
Risk stratification, medication, frailty, anaesthetic routing
Surgery POA
Comorbidity, anticoagulants, functional capacity, STOP-Bang
From referral to consultation-ready
What we measure
Pilots designed around GIRFT-relevant operational metrics, not vanity numbers.
MyPreConsult
- Appointment duration before and after
- New patient slots per session
- History completeness vs referral letter
- Red flags identified before appointment
- First-appointment PIFU / discharge rate
- DNA and cancellation rate
- Patient and clinician experience
MyPreAssess
- POA postponement rate
- On-day cancellation rate
- Time from listing to first risk screen
- High-risk patients flagged >2 weeks pre-surgery
- Theatre utilisation
- Nurse admin time per patient
- Ready-to-operate pool size
What we are. What we are not.
We are
- Structured digital history capture and pathway preparation for clinician review
- A tool that supports clinician-authorised straight-to-test and triage
- Pre-operative risk-flagging and assessment preparation
- Productivity improvement within wider pathway redesign
- Built with validated screening instruments and structured safety governance
We are not
- An autonomous AI replacing clinician judgment
- A diagnostic engine interpreting symptoms
- A system that independently orders investigations
- A system that clears patients for surgery
- A generic chatbot adapted for healthcare
Safety and governance readiness
GIRFT alignment opens doors. NHS organisations still need a credible clinical safety and governance package.
A convergence of policy, evidence and urgency
GIRFT’s Further Faster initiative, the NHS elective recovery programme and national perioperative care guidance are all asking for the same thing: standardise pathways, move preparation upstream, reduce variation and use digital tools to improve capacity.
The 2026 PACE study across 91 NHS trusts found that 9% of operations were postponed at pre-operative assessment and 10% cancelled within 24 hours. Over half of postponements were because issues were identified too late. Nearly 40% of cancellations were judged potentially avoidable.
These are measured, published, and politically urgent problems. The tools that address them should be equally concrete.
Interested in a pilot?
We are looking for NHS trusts, clinical leads and transformation teams working on outpatient or perioperative pathway improvement.
Talk to our clinical teamSources and references
- Getting It Right First Time. gettingitrightfirsttime.co.uk
- GIRFT Further Faster programme
- GIRFT Outpatient operational guides (clinic templates Oct 2025, follow-up Mar 2026)
- GIRFT Preoperative assessment guidance, July 2023
- GIRFT Further Faster Anaesthesia & Theatres Handbook, Aug 2025
- Centre for Perioperative Care / RCoA, PACE study 2026
- NHS England RTT waiting times, February 2026
- NHS England, Earlier screening and health optimisation in perioperative pathways
- Centre for Perioperative Care, Waiting well guidance