Choose and book: An audit of the appropriateness of referrals and their effect on patients' attendance to an inner city hospital secondary care provider

Although C&B facilitates patients to make their choice of appointments, nearly a quarter of our patients had arrangements made inappropriate to their needs. This meant consultants still had to screen referrals and increased workload on ancillary staff. Despite being offered a choice, DNA rate was high in referrals via C&B. Refinement of C&B pathways may reduce this inefficiency but the inflexibility of this system makes it an inefficient way of referring urological cases.