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Clinic Effectiveness > OPD Productivity

Monitor outpatient productivity, variation, and outcomes across clinics, consultants, and regions.

Location in SystemView: Outpatients > Clinic Effectiveness > OPD Productivity

In this article


What it is

The OPD Productivity component provides a detailed view of outpatient activity, focusing on productive appointments across new and review pathways, alongside appointment outcomes and variation.

It allows users to explore productivity at multiple levels, including health region, hospital, specialty, consultant, and clinic, using both volume-based and percentile-based comparisons.


Why it matters

Understand how outpatient activity varies across the system, how it compares between peers, and what factors may influence productivity.

The OPD Productivity component supports a structured view of outpatient performance by combining activity, benchmarking, outcomes, and workforce context.

  • Enable fair comparison of productivity
    Use FTE-adjusted views and percentile distributions to compare consultants and services on a consistent basis
  • Identify variation across multiple levels
    Explore differences across health regions, hospitals, specialties, clinics, and individual consultants
  • Understand activity distribution and scale
    Analyse how appointment volumes are split between new and review activity and how this varies by service
  • Incorporate outcomes into performance review
    Assess how activity translates into outcomes such as discharge, review, and other follow-on pathways
  • Provide context for interpreting performance
    Use supporting workforce views, including non-consultant staffing and FTE configuration, to better understand differences in throughput
  • Support informed planning and service discussions
    Use trends, distributions, and comparisons to guide conversations on capacity, clinic design, and service delivery

How to use it

Filter to focus your view

Use the filter bar to tailor the analysis:

  • Health Region: View performance across regions
  • Hospital: Focus on a specific facility
  • Specialty: Analyse by clinical specialty
  • Doctor: Drill down to individual consultant level
  • Appointment Mode: Filter by how the appointment was delivered
  • FTE Correction (Yes/No): Adjust activity to a 1.0 FTE equivalent for comparison
  • Appointment Type: New or review appointments
  • Timeframe: Select reporting period (e.g. 3 months)
  • Appointment Status: Filter by booking status
  • Appointment Outcome: Filter by outcome category
  • Aggregation Options: Control how data is grouped (e.g. total, average by doctor/clinic)
  • Percentile: Choose comparison grouping (e.g. Health Region)
  • Is Productive (Yes/No): Include only productive activity
  • Patient List: Access underlying patient-level data

Explore productivity, variation, and outcomes

Tile / Chart Name What it shows
Total Productive Appointments Over Time with Rolling Average (12 Weeks) Trend of new and review appointments over time, with a 12-week rolling average to show underlying patterns
Total No of Appointments by Specialty and Appointment Type Volume of new vs review appointments across specialties
Percentile Distribution by National Distribution of appointment volumes at a national level, highlighting median and variation
Percentile Distribution by Health Region Distribution of activity within a selected region to compare spread and outliers
Total No of Appointments by Consultant and Appointment Type Comparison of consultant activity with percentile markers to show relative performance. 

In addition the highest number of appointments is displayed compared to the National Percentile Distribution.

Total No of Appointments by Clinic Name and Appointment Type Activity split by clinic, highlighting contribution of individual clinics
Total No of Appointments by Health Region and Appointment Type Regional comparison of new and review volumes
Total No of Appointments by Hospital and Appointment Type Facility-level breakdown of activity
Total No of Appointments by Outcome over time and by App Type Trends in outcomes such as discharge, review, and other categories over time
Total No of Appointments by Consultant and Outcome Outcome mix at consultant level, showing how appointments are resolved
Non-Consultant Hospital Clinicians – Total No. of Staff per Hospital and Specialty Workforce view showing counts of non-consultant roles (e.g. Registrars, SHOs, Interns, CNS, ANP) by hospital and specialty, including totals and last update timing
Doctor FTE Configuration Configuration table showing clinician-level FTE inputs, including start and end dates, enabling adjustment of FTE-based productivity calculations
 

How it works

The OPD Productivity component uses outpatient appointment data sourced from local systems and refreshed regularly in SystemView.

Appointments can be filtered to include only productive activity, and are grouped dynamically based on the selected filters, such as region, hospital, specialty, consultant, and clinic.

Productivity and aggregation

Activity is aggregated across new and review appointments, and can be analysed over time or compared across organisational levels.

Rolling averages, such as the 12-week rolling average, are applied to reduce short-term variation and highlight underlying trends.

Percentile views position activity relative to peers within the selected grouping (for example, within a health region), supporting comparison without defining fixed targets.

FTE-adjusted activity

When the FTE Correction filter is enabled, consultant activity is normalised to a 1.0 full-time equivalent, allowing comparison across clinicians with different working patterns.

FTE values are determined as follows:

  • Where available, site-provided FTE inputs are used (as shown in the Doctor FTE Configuration view), including effective start and end dates

  • Where FTE values are not provided, SystemView derives FTE based on the distribution of outpatient activity across sites

This ensures that productivity comparisons reflect relative workload rather than contracted hours.

Workforce context

The Non-Consultant Hospital Clinicians view provides additional context on supporting workforce composition by hospital and specialty, including roles such as registrars, SHOs, interns, CNS, and ANP.

While this data does not directly change productivity calculations, it supports interpretation by highlighting differences in team structure that may influence clinic throughput and outcomes.


How it helps you

  • Compare productivity fairly
    Use FTE correction and percentile views to compare consultants on a consistent basis, regardless of working patterns
  • Identify variation across the system
    Explore differences in activity across health regions, hospitals, specialties, clinics, and individual consultants
  • Understand clinic activity mix
    Analyse the balance between new and review appointments to support service planning and clinic design
  • Monitor appointment outcomes
    Track how activity translates into outcomes such as discharge, review, or other follow-on activity
  • Provide context for performance
    Use workforce views, including non-consultant staffing, to support interpretation of differences in throughput
  • Support capacity and planning discussions
    Use trends, distributions, and benchmark positioning to inform operational and service-level decisions

Best practices

How often should I use it?

What to do How often Who typically does this Why it helps
Review outpatient activity and trends Weekly Operations Managers, Service Managers Maintains visibility of throughput and variation
Compare consultant productivity using percentiles and FTE correction Monthly Clinical Leads, Heads of Department Supports consistent and fair benchmarking
Monitor appointment outcomes and clinic mix Weekly Clinic Coordinators, Business Managers Helps identify inefficiencies and follow-up patterns
Review variation across regions and hospitals Monthly Executives, General Managers Supports system-level planning and alignment
Review workforce context alongside activity As needed Service Managers, Clinical Leads Provides context when interpreting productivity differences

Pair with these components

Tips for success

  • Use FTE correction when comparing consultants to avoid misinterpreting part-time activity
  • Use percentile views to understand relative position rather than applying fixed targets
  • Review trends over time alongside point-in-time comparisons
  • Consider outcomes and activity together to avoid focusing on volume alone
  • Use workforce context (e.g. non-consultant staffing) to support interpretation, not as a direct measure of productivity
  • Be aware that definitions and configurations may vary by site

FAQs

What does the FTE Correction filter do in OPD Productivity?
  • The FTE Correction filter allows you to view outpatient activity either as actual volumes or adjusted to reflect a full-time equivalent (FTE) workload for each consultant.
  • FTE Correction = No
    Displays the actual number of patients seen during the selected time period.
    This reflects true recorded activity without adjustment.
  • FTE Correction = Yes

    Adjusts the number of patients to reflect what the consultant would have seen if they were working at 1.0 FTE.

For example:

  • A consultant working at 0.5 FTE sees 100 patients
  • With FTE Correction set to Yes, this is adjusted to 200 patients

How FTE is determined?
FTE values are based on information provided by each site and entered in the OPD productivity component.
  • If site-provided FTE data exists, SystemView uses this directly
  • If no FTE data is provided, SystemView estimates FTE based on the consultant’s distribution of outpatient activity across sites
Note: Any changes in FTE requires updating of the FTE table to reflect the correct information

For example:
  • 50% of activity at Site A
  • 50% of activity at Site B
    → FTE is interpreted as 0.5 at Site A and 0.5 at Site B