Choosing and booking – and attending? Impact of an electronic booking system on outpatient referrals and non-attendances

Research output: Working paperDiscussion paper



Publication details

DatePublished - Oct 2015
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages51
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics, University of York


An electronic booking system (Choose and Book – C&B) for general practices making hospital outpatient appointments was introduced in England in 2005 and by 2009 accounted for 50% of appointments. It was intended, inter alia, to reduce the rate of non-attendance at outpatient appointments (7.1% in 2004). We test whether it did so using a 2004-2009 panel with 7900 English general practices. We estimate that the use of C&B was associated with a reduction in non-attendances of 85,600 (15.8%) and a reduction in referrals of 358,000 (3%) in 2009.

    Research areas

  • referrals, gatekeeping, general practice, outpatients , non-attendance

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