FOR ENDOSCOPY UNITS
Full lists start the day the referral arrives.
An endoscopy list only works when the right patients arrive prepared, and most of what breaks is set long before the day. By the time a patient hears about their slot, there is often no time to stop the right medications, prepare properly, or arrange a lift home after sedation; the late cancellation is baked in.
Alto moves first contact to the day the referral arrives and carries each patient through to prepared, confirmed and ready.
Where value is lost today
1 in 4
colonoscopies affected by inadequate bowel preparation.
1 in 10
procedures cancelled within 24 hours of the day itself; a slot that late is rarely refilled.
20 to 40 mins
of staff time per referral, the only manual alternative.
37%
of late cancellations preventable, caught by earlier readiness checks.
How Alto works
The Assistant confirms medication use, anticoagulants and GLP-1s included, so the correct preparation pathway is identified early.
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The Assistant screens red-flag cases against the unit's agreed standard.
The Assistant captures insurer details on receipt.
The Assistant checks completeness and chases what is missing.
Your Clinical Team standardises grading and prioritisation, human in the loop throughout.
The Assistant captures every referral from your existing channels and acknowledges it on arrival.
Your Booking Team is handed a complete, prioritised referral.
Your Booking Team has preparation supported through to the day, so the patient arrives ready.
Why Alto, not a generic intake tool.
Alto is not OCR and rules. The Assistant reads every referral, confirms medication use and identifies the correct preparation pathway: clinical reasoning built for the detail an endoscopy list depends on. The Judge independently checks that output and flags anything low-confidence for human review. That is the difference between a patient who is scheduled and one who arrives ready.
The late cancellation is decided weeks earlier. So is the full list.
WHAT CHANGES
What changes when Alto runs your front door
Seven outcomes, each with the problem it replaces
TODAY
Patients hear about their slot too late to prepare, stop medications or arrange a lift home.
WITH ALTO
Fewer late and same-day cancellations. Patients contacted the day the referral arrives, early enough to prepare and manage medications.
TODAY
Slots empty on the day are impossible to refill; the list runs below capacity.
WITH ALTO
Higher list and suite utilisation. Patients arrive ready, slots hold, and staff phone time drops.
TODAY
No contact between booking and the call two days before the procedure.
WITH ALTO
Clear early communication. Preparation instructions, medication checks and confirmations, started weeks out, not days.
TODAY
Pre-visit quality is done well but evidenced with difficulty.
WITH ALTO
An auditable pre-visit pathway. Helps evidence the quality your JAG accreditation depends on.
TODAY
Urgent cases wait behind routine ones in the inbox.
WITH ALTO
Faster, safer time to treatment. Red-flag cases screened on arrival and surfaced early, to the unit's agreed standard.
Evaluated with the University of Galway and MTU: clinical referral data extracted accurately on 92.4% of 6,084 data points, 98.6% under gold-standard clinician consensus. A regulated Class I medical device under EU MDR, aligned to ISO 13485, ISO 27001 and the EU AI Act, GDPR-compliant by design, syncing with your existing EHRs and PASs. Full detail in Why Trust Alto.
SEE YOUR NUMBERS
Find out what your list is really losing to preparation and no-shows.
An Endoscopy Workflow Audit:
where list capacity is being lost to preparation failures and non-attendance, from your unit's own referral data, and what it is worth to recover it.