Structured pre-appointment history capture for NHS specialist outpatient services
MyPreConsult moves clinical history-taking upstream. Patients complete an adaptive interview before the appointment. Clinicians start from a structured summary. The first face-to-face becomes examination and decisions, not questions.
Ambient scribes capture what happens in the room. We capture what happens before it, during it, and after it. Unlike generic triage tools, we are specialty-specific and referral-led. Unlike symptom checkers, we do not diagnose or replace clinical judgement. We prepare the consultation so clinicians can make better use of scarce appointment time.
The NHS specialist outpatient pathway productivity layer: referral-led, specialty-specific, governed, clinician-controlled, and designed to make first appointments more decisive.
Building Elective Single Point of Access pathways? See how structured history supports clinician-led triage →
Pre-appointment history capture pays for itself
The NHS Payment Scheme front-loads first attendance tariffs. A Trust that sees more new patients from the same clinic hours generates more variable-element income without adding staff, rooms, or sessions.
When history is completed before the appointment, the slot compresses. A 4-hour clinic running 30-minute new patient slots sees 8 patients. At 20 minutes, it sees 12. Four additional first attendances per session, from the same consultant, in the same room, at the same cost base.
The follow-up opportunity is equally direct. Structured pre-appointment data enables clinician-led straight-to-test decisions. The first face-to-face becomes results and management. Fewer return visits per pathway. Follow-up reduction supports PIFU targets and releases capacity for new patients from the waiting list.
Transparent pricing — £49/month, 8 interviews included.
Capacity release
- More new patients per session from compressed slots
- Fewer appointments per pathway from first-visit resolution
- Follow-up reduction and PIFU support
- Waiting list reduction from increased throughput
Cost avoidance
- Reduced admin rework (letters, forms, chasing information)
- Fewer DNAs from better-prepared patients
- Fewer avoidable pre-operative postponements (MyPreAssess)
- Reduced locum and waiting list initiative spend
Who benefits, and how
Your patients arrive pre-interviewed
- Complete structured history on screen before the appointment
- Pre-order investigations from structured data
“Start with examination and clinical decisions, not questions.”
Clear your waiting list from existing capacity
- Letters and forms pre-populate. Administration reviews instead of creates.
- Structured data supports PIFU, follow-up reduction, straight-to-test
“Same consultant, same room, same session. More patients through the waiting list.”
Productivity improvement that pays for itself
- Supports 2% productivity growth and Neighbourhood Health Framework targets
- Full compliance pack for procurement
“Justifies transformation spend with measurable capacity release.”
Five steps, one workflow
Referral ingestion
BCC or forward a referral email. MyPreConsult extracts patient details, reason for referral, and relevant history automatically.
Patient invitation
The patient receives an SMS and email with a secure link. Automated reminders follow. No app download or login required.
Adaptive AI interview
A conversational, specialty-specific interview that adapts based on responses. Validated screening instruments embedded where clinically relevant.
Structured clinical summary
Before the patient walks in. History, medications, red flags, and screening scores on screen. Investigations can be pre-ordered where Trust governance permits.
Documentation
GP letters and forms pre-populate from the interview data. Administration reviews and sends instead of creating from scratch.
What the platform covers
The differentiator
- Automated referral ingestion
- Patient invitation and reminders (SMS, email, WhatsApp)
- Adaptive AI interview with specialty-specific logic
- Patient AI chat support
- Structured clinical summary with provenance
In the room
- Ambient consultation capture with real-time transcription
- Dictation mode for clinicians who prefer not to record
- Pre-consultation data merges with in-room capture
Close the loop
- GP letter auto-population
- Investigation request pre-fill
- PROMs and PREMs collection (MyOutcomes)
- Follow-up interviews (MyReview)
- PIFU decision support
All features optional and configurable per clinician. Included in the standard subscription.
Aligned with GIRFT outpatient and theatre productivity 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, enhanced triage, 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 |
Early adopter sites reported 15–30% clinic-capacity gains from standardisation alone (GIRFT, February 2026). See how this maps to GIRFT outpatient transformation →
MyPreAssess: upstream risk screening for surgery
MyPreAssess extends the same structured approach to pre-operative assessment. Patients complete a digital risk screening and health questionnaire before their pre-operative appointment. Nurses start from a structured risk profile instead of a blank form.
The PACE study (91 participating NHS trusts, 78 in the analysed dataset; Br J Anaesth 2026) found 8.7% of operations were postponed at preoperative assessment, with 37.3% of last-minute surgical cancellations deemed potentially avoidable.
The NHS Standard Contract 2026/27 (SC3.18) requires providers to implement and maintain a system of early screening, risk assessment and health optimisation for all adult patients waiting for inpatient surgery.
What we do. And what we don’t.
What we do
- Structured pre-appointment history capture
- Clinician-authorised straight-to-test and triage
- Pre-operative risk-flagging and assessment preparation
- Productivity improvement within wider pathway redesign
What we don’t do
- Autonomous AI replacing clinician judgement
- Diagnostic engine interpreting symptoms
- System that independently orders investigations
- System that clears patients for surgery
- Generic chatbot adapted for healthcare
Safety and governance readiness
DCB0129
Clinical safety case and hazard log
Clinical Safety Officer
Dr Simon Merritt
DTAC Certified
NHS Digital Technology Assessment Criteria
UK GDPR Compliant
DPIA completed
UK Data Hosting
GCP europe-west2, London
Cyber Essentials Plus
Certified
ISO 9001:2015
Quality management
No autonomous decisions
No diagnosis, treatment advice, or autonomous clinical decisions
Full compliance pack available on request: DTAC self-assessment, DPIA summary, data flow diagram, DCB0129 clinical safety case, DSPT evidence, equality impact assessment.
Interested in a pilot?
Currently live with NHS patients in sleep medicine and MSK. Built with practising NHS clinicians.
We are looking for NHS clinical leads and transformation teams working on outpatient or perioperative pathway improvement. We deploy within weeks, design pilots around your service metrics, and provide a full compliance pack for procurement.
Clinicians remain in control. MyPreConsult supports intake and documentation workflows — it doesn’t make clinical decisions.