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NHS DIGITISATION

Summary

While working as an Assistant Psychologist within an NHS personality disorder clinic, I identified a significant bottleneck in patient waiting times caused by paper-based diagnostic assessments. I led the development of an electronic diagnostic scoring tool to modernise the assessment process, improving clinical efficiency, data quality and patient access to appropriate treatment.

Objectives

(1) Service Efficiency: Reduce patient waiting and referral times by improving diagnostic processes

(2) Digital Enablement: Transition from paper-based assessments to a scalable digital solution

(3) Data Insight: Improve the quality and accessibility of diagnostic data to support decision-making and research

Approach & Delivery

  • Conducted in-depth analysis of existing assessment workflows to identify inefficiencies

  • Designed and developed a prototype electronic diagnostic scoring tool and presented it to clinical leadership

  • Brought together clinicians, technicians and administrative staff to support development and adoption

  • Tested and validated the tool using existing patient data to ensure diagnostic accuracy and reliability

  • Delivered training and onboarding sessions to support smooth integration into clinical practice

  • Engaged with NHS stakeholders to explore wider adoption across services

  • Collaborated with developers on a complementary patient feedback app, further modernising data collection

Outcomes & Impact

  • Achieved an 83% reduction in diagnostic and referral waiting times

  • Enabled faster access to appropriate psychological treatment for patients

  • Improved clinician time utilisation, delivering cost and efficiency benefits for the service

  • Expanded the availability and usefulness of outcome data across the clinic and wider NHS service

  • Supported further research into the effectiveness of mental health treatment approaches

© 2026 by Madeleine Portwain

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