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The Patient′s Charter has recently set the standard for hospital out‐patient clinics that patients will “be given a specific appointment time and will be seen within 30 minutes of that time”. Describes the successful application of an operational research/operations management approach to out‐patient appointment systems at the Royal Lancaster Infirmary. Draws the conclusion from a comparison of this and other studies that many hospitals face very similar problems with similar solutions; but that localized studies may often be required to achieve these solutions.

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