Consultant Activity Report

Name*

Hospital*

Specialty*

Days worked*

Sat date

Sun date

Mon date

Tues date

Wed date

Thu date

Fri date

Was this a full day or half day?*

Staff

Name	Room Number	Day(s) worked	Actions

There are no Entries.

Cancellations

Patient ID	Reason	Actions

There are no Entries.

Adverse Incidents/Complications/Serious Incidents/Never Events

Patient ID	Briefly describe incident type	Confirm incident form fully completed	Actions

There are no Entries.

Patients of Concern

Endoscopy

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Endoscopy Triage

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Ophthalmology

Date	Consultant Name	Surgery/Procedures	Urgent	Actions

There are no Patients.

Ophthalmology Triage

Date	Consultant Name	Surgery/Procedures	Urgent	Actions

There are no Patients.

Cataracts/Oculoplastics

Date	Consultant Name	Patient Identifier Hospital Number	Urgent	Actions

There are no Patients.

ENT Outpatients

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Surgery-ENT

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Dermatology

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Neurology

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

MinorOps

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Actions

There are no Patients.

Gastro Clinic

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Actions

There are no Patients.

Oral

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Actions

There are no Patients.

Oral Surgery

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Actions

There are no Patients.

Oral Surgery Clinic

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Actions

There are no Patients.

General Surgery

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	Actions

There are no Patients.

Oral LA List

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Urgent	Actions

There are no Patients.

Oral GA List

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Urgent	Actions

There are no Patients.

Oral Clinic & LA

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Urgent	Actions

There are no Patients.

Oral Clinic & GA

Date	Consultant Name	Patient Identifier Hospital Number	Type of Concern	Urgent	Actions

There are no Patients.

Urology

Date	Consultant Name	Surgery/Procedures	Type of Concern	Urgent	PSA	Repeat PSA	Actions

There are no Patients.

Endoscopy Specific Data - Total number of Procedures Performed - Saturday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Sunday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Monday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Tuesday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Wednesday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Thursday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Endoscopy Specific Data - Total number of Procedures Performed - Friday

Colonoscopy

Flexible Sigmoidoscopy

Gastroscopy

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Saturday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Saturday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Sunday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Sunday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Monday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Surgery/Procedures - Monday

No. of patients booked	No. patients DNA	No. patients cancelled	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.

Capacity - Clinic - Tuesday

Total No. of patients booked	No. New Patients Seen	No. Follow ups seen	No. patients DNA	No. of additions to list	No. patients treated	Actions

There are no Entries.