
So here we are, another week of extreme weather conditions and appointment books collapsing as fast as the UK’s chances of hosting the World Cup.
I’ve cancelled a trip to Scotland this week because the combination of early and late drives to and from Exeter airport and the current conditions in Edinburgh are enough to make me do the sensible thing for once – and thank goodness for clients who can see my point and are happy to re-schedule to January.
Annie’s hygiene book has melted the last two days (because the snow hasn’t) and she is threatening to clean out the kitchen cupboards this afternoon (sacre coeur!) – the home-made soup yesterday was a bonus.
A business manager and working spouse writes to me this morning:
What do you say to the patient who wants to cancel due to icy weather conditions when they want to do a late cancellation ?
When it leaves the hygienist book hit by the 8th cancellation of the day?
When a patient has already made it from the same place this morning and says main roads are fine?
When you want to scream???????
When the receptionist has told them on your instruction that we will have to charge on that basis?
When they now want to speak to the manager who is furious and cannot pick up the phone because she will get angry?
Seriously, we have had barely any snow here.
Back roads are icy, main roads clear.
But it’s Nearly December FFS.
Are we not used to a bit of frost?
It seems like last year gave everyone a license to be a bloody wimp in Winter and a valid excuse to avoid their commitments.
And my reply:
And here’s me, just pulled my 2 days in Scotland this week – although I think the combined weather in Cornwall and Edinburgh make that necessary.
But you have succeeded in making me feel like a bloody wimp.
The question was “what do you say?”
and the answer is,
“no problem, leave it with me, I’ll get it sorted” usually.
Let’s for once assume that there is a valid reason and ask:
“in order for me to understand your situation, could you please describe to me specifically the conditions that prevented you from coming to see us today?’
……then listen empathetically – and make a judgment call.
Let me know how you get on.
I think you may have brought a blog post on……


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We are in day 2 of snow… the most ammount of snow I have ever seen, and it is still falling.
I ran in to work on Monday morning 8k. Some people managed to get to us… So we took charge of the situation and began to contact everyone for the afternoon clinic. We asked them do you think you can make it? Most people cancelled, the ones that wanted to be seen we moved into the slots that appeared in the morning clinic.
The result was we all went home at 12.30 having worked a full morning. Everyone is happy. People that needed to see us got to see us people that wanted to stay home got to stay home, and the staff all got to home early and play in the snow.
We have just done the same this morning, and will prob do the same tomorrow.
Great to hear that Pete! I’m very impressed that you’re running to work too!!
It sounds like you’ve created a very positive experience for your patients and your team members under these potentially challenging conditions
Just read the blog post about the cancellations.
Our system is that if a patient wants cancel because they can’t get here, because they don’t want to try in the bad weather, we offer to send a taxi to collect them and take them home.
We have a couple of nice taxi companies in the area (Mercedes drivers not clapped out Vectras) and it is cheaper for us to pay for them to do this rather than leave the books empty. The taxi drivers are more than happy to have the work, and if they can’t make it then we accept that conditions are too bad for the patient to come. It just takes the patient’s driving ability or confidence in their driving ability out of the equation.
Thanks Neil, I love your proactive approach and the fact that you’ve created a strategic alliance partner out of the taxi company that offers the service to your patients.