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Process file · Healthcare Healthcare

What’s inside: company memory · step-by-step flow

Why is the GP's discharge letter a week late?

The question this file answersWhat happens to the discharge letter when the ward is full and the patient has already gone?

Fits: clinics and hospital groups where referrals, discharge papers and records still move by fax and email.

Typical day

What the desk looks like today

Typical pattern, not a measured ward — the healthcare playbook covers referrals arriving at 20–200+ a day, not discharges, so this desk has no published volume. Letters, medication lists and follow-up slots are hand-assembled from the EHR once the bed is needed; the GP gets it days later, if complete.

What changes

What Monday looks like after

On the morning ward round, the doctor sees a draft discharge for each patient going home today, with the medicines reconciled against the chart and the gaps flagged; the plan and the safety-netting sentence are still theirs to write. The GP gets the letter the same day rather than next week.

Typical, not a measured client result. Every figure here comes from the playbook source named below.

Assembled

the draft handover assembled from the record — the same build as our referral file; no published figure for discharge

Before: letters, medicines and follow-ups are assembled by hand after the patient has left. After: the draft is on the ward round with the gaps marked and the clinician writes the plan. The percentage stays on the referral file.

No published figure for this desk. The range lives on the parent file: Why is a referral typed twice: EHR and acknowledgement? →

How this file is built

No study we can cite measures discharge documentation on its own. Deloitte (2023) reports 40–55% on healthcare document processing and NHS Digital (2022) ~50% admin time on referrals — both live on the referral file and are not transferred here. The plan is never drafted by the model.

What we install

What we put in front of the systems you already run

The EHR you run — Epic, Cerner, MEDITECH — is not replaced. The build is our referral-letter file run in reverse, out of the hospital instead of into it:

  1. the discharge summary, current medication list and booked follow-ups are drawn from the EHR record
  2. they are assembled into a draft handover in your template, with every gap marked — an unreconciled medicine, a follow-up not yet booked
  3. the clinician completes the plan and signs; only then is it sent to the GP through the usual route, e-referral or fax.
What stays human — and what this will not do

The plan. Safety-netting advice. The call to the family. Anything that is care rather than paperwork.

What can go wrong — and what we do about it

If medication changes made on the ward are on paper charts, the draft list is wrong in exactly the place that matters — reconciliation stays a pharmacist or clinician step regardless. Where the EHR lacks a document interface, drafts are created in the EHR's own template and the send remains manual. The Deloitte (2023) and NHS Digital (2022) figures concern referrals and general document processing; both stay on the referral file, and discharge has none.

What it costs to get there

The path: free 60-second estimate → free 20-minute review → paid audit of this one process (€1.5–3K, typically two weeks) → pilot with your people in the loop (€10–20K, weeks, not quarters). No transformation programme. Prices are public, on the services page →

Scoped in the audit — the playbook has no estimate for this exact desk.

This is about you if…
What does this mean in euros?

That depends on your volumes and wage costs — this page will not invent the number. The free 60-second estimate runs that calculation from your answers, with every multiplier sourced.

Get your free savings estimate 60 seconds · no sales call Or write first → Map a healthcare process like this one — free, 60 seconds →

Not a named Aperanda client. Process file · Healthcare.

Short process file. Same build as its parent file; the playbook has no separate volume or benchmark for this desk.

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