Today
Tuesday 25 August 2026 · Altrincham & Wilmslow · 6,800 active patients
Treatment diagnosed, not booked
£1.2m
792 plans
Chair utilisation
78%
Target 88% · 6 gaps today
Recalls overdue
2,410
35% of the patient base
Aesthetics due a top-up
318
Past their 4-month cycle
Lost chair time, 12 months
£284k
1,842 failed or cancelled late
This is not a sales dashboard, and the distinction matters clinically. A patient who understands a plan, considers it, and declines it is a good outcome — it closes cleanly and it is recorded. A patient who was never asked again has an untreated problem that gets worse and more expensive. What this practice counts is decisions recorded, not treatment sold.
Outstanding treatment, by age
£1.2m diagnosed and not yet booked · the older it gets, the less likely it is ever to happen
| Age | Plans | Value | Still convert | Contacted since |
|---|---|---|---|---|
| Under 30 days | 148 | £214,000 | 41% | 92 |
| 31–90 days | 214 | £338,000 | 18% | 78 |
| 91–180 days | 196 | £296,000 | 7% | 31 |
| Over 180 days | 234 | £364,000 | 2% | 13 |
A plan followed up inside thirty days converts at 41%. At six months it is 2%. The largest pot of money is the one that is almost certainly gone.
Today at a glance
Both practices, four surgeries, one aesthetics room
Appointments booked62
Chair hours available41.0
Chair hours booked32.0
Gaps6 · 4h 30m
Value of those gaps£1,840
Short-notice cancellations today3
Standby list41 patients
Four and a half hours of chair time will be empty today. Forty-one patients on the standby list would take a slot at short notice, and 214 patients have treatment already diagnosed and waiting. Nobody has connected those two lists to today's gaps, because it means three screens and a phone.
Chair utilisation
Rolling 12 months against an 88% target
| Month | Utilisation | Month | Utilisation |
|---|---|---|---|
| Sep 2025 | 77.4% | Mar 2026 | 76.4% |
| Oct 2025 | 79.4% | Apr 2026 | 77.4% |
| Nov 2025 | 75.4% | May 2026 | 79.4% |
| Dec 2025 | 73.5% | Jun 2026 | 78.4% |
| Jan 2026 | 78.4% | Jul 2026 | 76.4% |
| Feb 2026 | 80.4% | Aug 2026 | 78.5% |
Ten points below target, every month, for a year. At Bramfield's hourly yield that gap is roughly £310,000 a year of chair time that was paid for and not used.
Follow-up, by clinician
Plans presented and then contacted again within 30 days
KFKayleigh Frost · coordinator71%
AMDr Aruna Mehta44%
MVDr Marcus Vane31%
CRDr Callum Reith18%
PSDr Priya Sandhu14%
The coordinator follows up seven times in ten. The dentists do not. That is not a criticism of the dentists — they are in a surgery with a patient in the chair. Every plan a clinician presents without a coordinator attached is a plan that depends on somebody remembering.
Today's list
What a person should actually do before six o'clock
| Item | Patient | Clinician | Position | Value | Status |
|---|---|---|---|---|---|
| Plan not followed up — active infection noted | M. Fairbrother | MVDr Vane | 34 days | £4,850 | Clinical concern |
| Cancellation — 90 minutes free at 14:00 | Surgery 1 | AMDr Mehta | Today | £620 | Unfilled |
| Plan not followed up — tooth flagged unrestorable | J. Okereke | AMDr Mehta | 51 days | £3,200 | Clinical concern |
| Gap — 60 minutes at 11:30, Wilmslow | Surgery 3 | FLF. Llewellyn | Today | £185 | Standby list ready |
| Aligner plan — no decision recorded | S. Ahmadi | CRDr Reith | 22 days | £4,200 | Never contacted |
| Gap — 45 minutes at 16:15, aesthetics | Aesthetics room | RBR. Bellini | Today | £340 | 18 due a top-up |
| Prescription review due before Thursday clinic | Aesthetics | RBR. Bellini | 2 days | — | Governance |
| Radiography audit sample due | Both practices | DAD. Achara | 6 days | — | Governance |
| 142 recalls overdue by more than 6 months | Patient base | DAD. Achara | — | £28,400 | Start outreach |
Ordered by clinical consequence first and money second. The two rows at the top are patients with a diagnosed problem that is getting worse while nobody rings them.