Average patient no-show rate
Across 105 studies, the average no-show rate was around 23%, ranging from 13.2% in Oceania to 43% in Africa.
Appointment reminder software sends timezone-aware SMS, WhatsApp and email reminders the moment an appointment is booked, lets patients confirm or reschedule with one reply, and keeps the calendar accurate on its own. Capra adds reminder templates that patients act on, delivery status per message, no-show (DNA) tracking per clinician and site, and sync with the calendar and EHR you already use.
Patients forget, book too far ahead, or find rearranging harder than not turning up. Manual phone rounds don't scale, and the gaps add up across a month.
Across 105 studies, the average no-show rate was around 23%, ranging from 13.2% in Oceania to 43% in Africa.
Patients did not attend 16 million GP-practice appointments in 2025, about 1 in 23 of those booked.
NHS England has estimated that every missed general practice appointment costs around £30, before anyone counts the wait for the next patient.
Put in your own numbers to see what no-shows add up to each month and year. It is your estimate from your figures, not a promise of what Capra will deliver.
For context: in a Cochrane review, attendance rose from 67.8% to 78.6% when patients received a text message reminder, and in an Imperial College London study non-attendance was 38% lower among patients who got one. See the sources.
Most teams connect their channels, sync calendars and import patients within a few days.
Two-way sync with Google Calendar or Microsoft Outlook / Teams, then link SMS, WhatsApp and email.
Choose timing, channel and template per appointment type. Capra sends each reminder at the right local time.
A YES confirms, a reschedule request threads into your inbox, and the calendar reflects it instantly.
Automation, wording, reply handling, delivery and tracking that share one patient record, so a reminder is never out of step with the schedule.
Trigger reminders and confirmations from booking, rescheduling and cancellation events. Set the timing, channel and template per appointment type, and Capra handles the rest at the right local time.
The wording decides whether a reminder is read or ignored. Capra's templates put the clinic, the clinician and the time in the first line, give the patient one clear action, and change tone for the three-day reminder, the day-before nudge and the follow-up after a missed visit. Browse and copy them from the reminder templates library.
Patients answer on whichever channel the reminder arrived on. Every reply threads back to their record in one shared inbox, so a “can I move it?” never gets lost.
A reminder shown as sent is not the same as a reminder that arrived. Capra registers your practice number with the carriers where that is required, shows delivery status per message, retries failures and falls back to the next channel, so the front desk knows which patients were actually reached.
No-show rate by clinician, site, appointment type and day of the week, with the reminder rule beside each number. When Monday mornings at one site run high, you add a reminder to that appointment type and watch the next month, without a spreadsheet.
Keep Google Calendar or Microsoft Teams / Outlook as your source of truth. Changes flow both ways, with per-user privacy controls, so a reminder never points at a slot that moved. The schedule in your EHR or practice management system is connected during onboarding.
Capra is role-based and configurable; your onboarding lead sets these up with you before the first reminder goes out.
Calendars, SMS, WhatsApp and email are live today; your record or practice management system is connected during onboarding.
Defence in depth, from the first message to the last record. This is how we operate, not a badge.
Connections use current TLS with HSTS, and stored data is encrypted with keys managed by our cloud provider.
Permissions come from defined roles, privileged access needs multi-factor authentication, and rights are reviewed regularly.
Security-relevant events are recorded, retained and reviewed so unusual activity can be investigated quickly.
Critical data is backed up regularly and protected like production, with processes to restore service after a disruption.
UK clinics are hosted in the UK by default; deployment in other regions, including the UAE, is available on request with the same protections.
Capra connects to the record, calendar, accounting, messaging and claims systems you already run; integrations are built with you during onboarding.
Research shows reminders make a real difference. A Cochrane review found attendance rose from 67.8% to 78.6% with text message reminders, and in an Imperial College London study non-attendance was 38% lower among patients who got one. Capra's reminders are timezone-aware, and patients can confirm or reschedule with a single reply, which keeps schedules accurate.
The clinic name, the clinician, the date and the time in the first line, then one clear action: reply YES to confirm, or tap to reschedule. Keep it short, send the first one two or three days ahead so the patient can rearrange, and use a different, warmer wording for the day-before nudge. Capra's reminder templates library has copy-ready examples for each.
Yes. Capra keeps a two-way sync with Google Calendar and Microsoft Teams / Outlook, so appointments stay accurate in both places. Per-user calendar privacy controls let each team member decide what's shared.
Reminders and confirmations can be sent over SMS (powered by Twilio), WhatsApp Business, and email. Patients reply on whichever channel they prefer and every response threads back to their record.
Most often because carriers filter business texting from unregistered numbers, which is why a reminder can show as sent and never arrive. Capra registers your practice number where that applies, shows delivery status per message, retries failures and falls back to the next channel.
Capra reports your no-show (DNA) rate by clinician, site, appointment type and day of the week, alongside confirmations and reschedules, and shows which reminder rule each appointment was covered by. You change a rule from the report and compare the next month.
Most teams connect their channels, sync calendars, and import patients within a few days. Reusable templates and automation rules mean you can be sending your first reminders almost immediately.
Yes. Patients reply on the channel the reminder arrived on, and a reply to confirm, reschedule or cancel updates the appointment automatically. Reschedule requests thread into the shared inbox, so your team can offer a new time without a phone call.
Yes. Reminder rules are set per appointment type, with your choice of timing, channel and template. Templates support variable substitution, so every message carries the patient's name, clinician and appointment details.
No. Reminders arrive as ordinary SMS, WhatsApp or email messages on the number and address you already hold, and patients reply the same way. There is nothing to download or set up.
Explore more

Patient engagement
Patient no-shows cost clinics time and revenue. Learn how to reduce patient no-shows with 7 proven, research-backed strategies, from reminders to waitlists.
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Patient engagement
How Dubai clinics cut no-shows with WhatsApp: tap-to-confirm reminders in Arabic and English, a shared inbox, one-tap rebooking and a waitlist.
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Clinic operations
A worked example of the no-show calculator: what a 7% DNA rate costs a three-practitioner clinic in GBP, USD and AED, and what moving it to 4% is worth.
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