Background 
The traditional model of hospital outpatient appointments has changed very little since the NHS was established almost 70 years ago.  In other aspects of our lives - holidays, recreation, transport, retail etc., our relationship with services has changed beyond recognition.  Online booking, online advice and support and video and teleconferencing are the norm for dealing with people who deliver products and services.  We can order a pizza from our smart phone, order a passport or driving license online, and even deal with our tax returns from a computer or tablet.

There are, however, examples of innovation to improve the quality of services, the experience of patients, and the cost-effectiveness of clinics.  Some patients can book, amend or cancel appointments online.  Others receive text message reminders to avoid missing appointments, while others can 'virtually' meet their consultant through a video call on their computer, tablet or smartphone.  

The Challenge 
The three Academic Health Science Networks in West Midlands, Eastern and East Midlands are working with NHS Improvement to seek out examples of innovation from NHS organisations, companies, universities and patients and patient organisations.

These may include:

• Booking and scheduling solutions
• Alerts and reminders
• Virtual, telephone or online consultations
• Clinics closer to home (e.g. in community-based health centres)
• Referrals: from GPs, other referrals.