Cut no-shows and admin
chaos in 30–45 days
— on top of your existing system, no EHR access.

Fewer missed appointments. Faster patient replies. Less admin time per booking.

For UK private clinics — GP, dermatology & aesthetics, diagnostics, psychotherapy, orthopaedics, women's health • For UK private clinics — GP, dermatology & aesthetics, diagnostics, psychotherapy, orthopaedics, women's health • For UK private clinics — GP, dermatology & aesthetics, diagnostics, psychotherapy, orthopaedics, women's health •

Why this matters

Running a clinic means juggling diaries, calls, referrals and billing while keeping care front and centre. We remove friction in the admin lane so:

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Clinicians spend more time on patients, not chasing slots.

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Administrators handle fewer repetitive steps and clear the inbox.

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Patients get clear messages, easier rescheduling and fewer missed visits.

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Owners see steadier revenue and faster cash without new hires.

What we do in 30–45 days

Fewer missed appointments

Tighten reminders and self-rescheduling, fix late-cancellation rules, recover no-shows.

Faster, cleaner inbox

One queue for calls, email, SMS/WhatsApp with clear owners and simple SLAs.

Lower admin time per booking

Trim duplicate touches, clarify who does what, remove manual chasing where possible.

We do this through a ‘Core-4’ admin playbook — but you don’t need to learn the jargon. We handle the setup and training.

Value Propositions

No-EHR, fast to start

We work on top of your existing PMS, using SMS/WhatsApp, a shared inbox, simple forms and pay-links. No EHR access, no IT project.

Managed service, not another tool

We design the playbook, set up the workflows, write the templates and run weekly reviews with clear owners and SLAs. Your team doesn’t have to “figure it out”.

Weekly, visible KPIs

Every week you see movement on: first response time, no-shows, touches per booking and fill-rate. If you use insurers, we also track charge-lag and DSO.

Reversible, low-risk changes

We start small, test in one area, and keep every change reversible. If something doesn’t work for your team, we roll it back in days, not months.

How it Works

4 steps to measurable improvement

1

Assess

Confirm scope, owners and SLAs; capture four weeks of baseline KPIs.

2

Configure

Enable reminders with self reschedule, waitlist backfill, shared inbox and payment links.

3

Launch

Go live in 10-14 days; run service messages and pay-links with consent.

4

Optimise

Weekly review (WBR), A/B copy and rules to hit the KPI targets.

Core admin engine – in plain words

Reminders + self-reschedule + waitlist

Patients confirm or move appointments in a couple of clicks; cancelled or high-value slots go straight to a waitlist instead of staying empty.

Shared inbox + simple SLAs

One queue for email and (where used) SMS/WhatsApp, with clear tags, macros and a basic first-response target — so nothing gets lost.

No-show and late-cancel recovery

Gentle follow-up sequences for missed or late-cancelled appointments, with a clear reschedule option instead of manual chasing.

Pay-links and deposits where needed

Payment links and simple deposit rules for prime-time and high-risk slots, to reduce last-minute drop-offs without creating extra admin work.

When these four pieces run together on top of your existing PMS, you get fewer no-shows, faster responses and less admin time per booking — without changing your clinical systems.

If insurer context: we can layer in a light RCM track inside the pilot — same-day charge-out, a simple eligibility/pre-auth inbox, daily submit and a basic denials worklist. No EHR. No PHI.

Optional extras (where it makes sense)

– Voicemail → transcription → suggested reply drafts for missed calls.

– Simple chatbot or website assistant for very basic admin questions.

Is this for my clinic?

Good fit if:

  • You’re a UK private clinic with roughly 600–1,500 visits per month (GP, derm, mental health, women’s health, etc.) or 400+ scans per month for diagnostics.
  • You already use a practice management system (PMS) and want to improve how reminders, inbox and no-shows run on top of it – without changing your clinical system.
  • No-shows are around 8% or higher, or you feel too many prime-time slots are going to waste.
  • Patients and staff are happy to use SMS/WhatsApp/email for service messages (with consent and clear opt-out).
  • If a significant share of your volume is insured (for example, ~30%+ PMI or frequent pre-authorisations), we can also include a light insurer track inside the pilot (charge-out, simple pre-auth inbox, denials list).

Not a fit if:

  • You have very low volume (for example, under ~400 visits per month) or mostly one-off high-complexity procedures.
  • Your no-shows are already <5% and first reply to patients is consistently within 4 hours, without much admin strain.
  • You cannot use SMS/WhatsApp/email for service messages at all.
  • You only want “best-effort” help with no named owners, no SLAs and no access to basic operational data to measure change.

Want the numbers? See simple ROI under Pricing.

Lets talk Quick ROI check

30–45 day pilot, in three simple phases

Before: Week 0 – baseline & focus

We take 3–4 weeks of your recent data: visits, no-shows (DNA), channels used, basic admin workload.

1–2 short calls with your clinic lead and front-desk lead to understand how things work today.

We agree the 2–3 KPIs to move in 30–45 days (for example: DNA, first response time, touches per booking).

During: 30–45 days of change

1. Fewer missed appointments
Tighten reminders and confirmations, add simple self-reschedule options, and introduce a clear late-cancellation / no-show recovery flow.

2. Faster, cleaner inbox
Bring calls, email and (where used) SMS/WhatsApp into one queue with clear owners and a simple SLA for first response.

3. Less admin time per booking
Remove duplicate chasing, standardise 1–2 best admin flows, and make it clear who does what at each step.


All of this runs on top of your existing PMS. No EHR access, no new clinical system to learn.

After: decision on next steps

We show a simple before/after on your numbers for the KPIs we agreed at the start.


Together we decide whether the effect clearly pays back and what to do next:
– stop (and keep what’s working),
– extend for another period, or
– move into a light ongoing support model.


There is no long-term commitment unless the impact is clearly above the monthly cost.

Safety & governance

Shadow mode for first waves; one-click rollback for each change; least-privilege access & MFA; audit log. No EHR. No PHI.

What we need from you

  • Name owners for inbox, reminders/waitlist, no-shows (and an RCM lead if insurer)
  • One 45–60-minute training
  • Weekly 30-minute review (WBR)
  • Consent copy enabled for service SMS/WhatsApp; opt-out live

Day-to-day workload usually drops.

What we don't do in the pilot

No EHR integration or migration. No clinical content or clinical workflows. No PHI. Operational admin only.

SLA & Pilot Charter

  • • 4 SLAs: calls ≤60s; first response ≤4h; same-day backfill; charge-day end <24h (insurer track).
  • • Owners: named leads per stream and a rollback button for any change.
  • • Targets (hit any 2 of 3 in 30–45 days): FRT/TAT −40%; DNA −3–5 percentage points; cost per booking −~20%.

Technology note: We use rules, no-code/RPA and light AI assistance where it helps. No PHI.

Outcomes & ROI – what we usually see

We track a small set of admin KPIs:

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Time to first response

In a 30–45 day pilot, clinics like yours typically see: First response into <4 hours
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No-shows (DNA%)

In a 30–45 day pilot, clinics like yours typically see: DNA down by ~3–7 percentage points
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Touches per booking

In a 30–45 day pilot, clinics like yours typically see: 20–30% fewer manual touches per booking
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Fill-rate

In a 30–45 day pilot, clinics like yours typically see: 2–5 percentage points higher fill-rate

Examples (not promises, just ranges):

Psychotherapy clinic (~900 visits/month, ~£100/visit):

moving DNA and fill-rate by a few points often adds around £4–5k/month in attended visits, plus admin time saved.

MRI unit (~600 scans/month, ~£250/scan):

better slot use and fewer no-shows often adds around £8–10k/month in kept scans, before counting faster cash.

Pricing

Ongoing support

£1.2k+/mo

per clinic

Pricing typically starts from around £1.2k/month per clinic, depending on volume and scope. We agree this together only after you’ve seen your pilot results.


For clinics that want help keeping the gains and making further improvements, we offer light ongoing support:

  • Quarterly or monthly reviews of your KPIs
  • Tweaks to rules, templates and flows when things change
  • Support for rolling out to extra locations

KPI-credit

If the pilot doesn’t move at least two of the three agreed KPIs in 30–45 days versus your baseline, we apply a credit against any future support fees. We only recommend ongoing work if the effect comfortably exceeds the monthly cost.

Simple ROI under the retainer

Back-of-the-envelope (per month):

Value ≈ extra attended visits × £/visit + admin hours saved × £/hour

Psychotherapy

900 visits; £100/visit; ΔDNA=3pp; ΔFill=1pp; 3 min saved; £20/hr

~£4.2k/mo

MRI

600 scans; £250/scan; ΔDNA=4pp; ΔFill=2pp; 2 min saved; £20/hr

~£9.0k/mo

If insurer track active: add cash brought forward from ΔDSO and fewer write-offs from Δdenial%.

Figures are ranges, not guarantees. KPIs are reviewed weekly.

Retainer default after pilot

Pilot rolls into a 12-month retainer unless you opt out within 14 days of the final WBR. If monthly effect is below retainer + £2–3k, you can opt out; the pilot KPI-credit still applies.

Multi-site and rollouts

  • • Multi-site pilot (same PMS): +£4.0k per extra location; (different PMS/flows): +£5.0k per extra location.
  • • Insurer/RCM-lite, if active: +£1.0k per location.
  • • Post-pilot rollout per additional location: £3.5k–£5.0k depending on reuse of artefacts.

Pass-through (capped): Licences/SMS/WhatsApp/voice/transcription capped at £400 per location per month during the pilot without written approval.

Why us

Productised service, not generic consulting

A defined 30-day pilot with Core-4, SLAs, owners and weekly cadence.

Playbooks & benchmarks from day one

Ready SOPs, message templates, timing rules, baseline dashboard.

Security & compliance first

PECR-aligned service messages, explicit consent, GDPR/DPA/DPIA, No PHI.

Tool-agnostic, outcome-led

We run on top of your stack and move KPIs without EHR access.

Feature ≠ outcome

We run SLA discipline, A/B cadence and ownership so PMS features translate into measurable KPIs; insurer clinics get RCM-lite where relevant.

People outcomes

Fewer manual touches, clearer ownership, steadier days. Patients get timely messages and easier rescheduling. Teams finish on time more often.

Who we mostly work with

Private GP & multi-specialty clinics

Dermatology & aesthetics

Diagnostics (MRI/CT/US)

Psychotherapy / telemental health

Orthopaedics & MSK

Women’s health & fertility

The admin engine is the same: reminders and self-rescheduling, waitlist and deposits, shared inbox with SLAs, no-show recovery and pay-links. We only adjust the tone, timing and rules to your specialty.

Compliance

No EHR. No PHI

We only work with contacts, appointment IDs, time/slot and payment links at the admin layer.

GDPR/DPA/DPIA

We act as your processor with a DPIA for the pilot, data minimisation and least-privilege access.

PECR

Service messages only (appointments, reminders, payments) with explicit consent and clear opt-out.

DPA with processors

Inbox, SMS/WhatsApp, forms and payments are covered by data processing agreements and audit logs.

No EHR. No PHI. Operational workflows only.

We operate at the administrative layer, ensuring complete separation from clinical systems and patient health information.

Who is behind EpicRose

Dmytro Biletskyi

Dmytro Biletskyi

EpicRose is led by Dmytro Biletskyi, a healthcare and operations consultant specialising in administrative workflows, KPIs, and automation for private clinics. His background combines finance and business operations with hands-on work in digital health and AI.

View Dmytro’s LinkedIn profile →

Your Pilot Team

Your pilot is run by a small team of specialists with deep experience in clinic admin workflows and lightweight automation — not by a generic agency. You get people who focus on this type of work every day.

FAQ

1. Our PMS already has reminders and an inbox — why bring you in?

Your PMS has the right features; the problem is usually the process around them. We establish clear ownership, SLAs, templates, a waitlist, and no-show rules, along with a simple weekly review, so that these features actually translate into fewer no-shows, faster replies, and less administrative work. In other words, we turn “tools available” into “measurable outcomes”.

2. Is this legal under PECR/GDPR?

Yes, as long as service messages are sent with a lawful basis, explicit consent where required, and a clear opt-out. We work exclusively with operational messages (appointments, reminders, payments), not marketing, and keep all content and flows inside PECR and GDPR/DPA guidelines. A DPIA for the pilot and DPAs with processors are part of our standard approach.

3. Do you integrate with our EHR or handle PHI?

No. The pilot is deliberately “No EHR, No PHI”. We operate within the admin layer, working exclusively with contacts, appointment IDs, timeslots, and payment links, rather than clinical notes or test results. That keeps the workstream lighter, faster to approve and easier to roll back.

4. How much time will this take from our team?

We typically require a clinic lead and a front-desk lead for a few short sessions in Week 0, as well as a 45–60 minute training session and a 30–45 minute weekly review during the pilot. Day-to-day, the idea is to make their work simpler, not add extra tasks: fewer manual chases, fewer duplicate touches, clearer “who does what”. If it starts to feel heavier, we adjust or roll back.

5. What if staff push back on new rules or templates?

We keep changes small, test them in one area and design them with your front-desk lead, not in a vacuum. Staff see clearer rules, fewer “fire drills” and less chaos in the inbox, rather than a new system to learn. If something clearly doesn’t fit your team, we change it or switch it off.

6. What if KPIs don’t move?

We agree 2–3 target KPIs at the start and track them weekly against your own baseline. If after 30–45 days we don’t see clear movement on at least two of them, we don’t recommend ongoing work and a KPI-credit applies against any future support. The decision to continue is always based on your numbers, not our slides.

7. Can we start with one location only?

Yes — in fact, we recommend it. We prove the impact on one site, with a defined pilot and reversible changes, before deciding whether to extend or roll out further. Multi-site work only occurs once the results from the first location are clear and worth repeating.

Ready to cut no-shows and admin chaos?

See your rough ROI in 3 minutes, then decide if a 30–45 day pilot on top of your existing system makes sense. No EHR access, reversible steps.

Schedule a 20-min call Get ROI snapshot