Three mornings on the board

A cough that had lasted three weeks and an NHS appointment two weeks away. She wanted someone to listen to her chest and say whether to worry.

Booked a 30-minute slot on the board the night before for 08:15. Dr Raman examined her, checked her saturations, and requested a chest X-ray at the local imaging centre for that afternoon.

A clear X-ray by 16:00, a post-viral cough diagnosis, an inhaler for a month, and a letter to her NHS GP so the record was complete. Back at work by 09:30.

A safari booked for nine days' time, no vaccination record, and an entry requirement for a yellow fever certificate he had only just read about.

Used the picker on the Thursday (Africa bundle, leaving in 7 to 14 days), phoned, and came to the Saturday walk-in. Jo gave yellow fever with the certificate, combined hepatitis A and typhoid, meningitis ACWY and a tetanus booster, and Dr Lindqvist prescribed atovaquone-proguanil.

Certificate valid the day before he flew. Rabies was discussed and declined for a lodge-based trip. Total in writing before the first needle.

An employer losing shifts to staff waiting a fortnight for an NHS appointment for things a GP fixes in ten minutes, and D4 medicals for forty drivers a year.

Opened a corporate account in a week. Staff book through the board with the account code, slots held until 10:00, sick notes and return-to-work letters included; D4 medicals on a rolling rota with Dr Bell; a flu day on site in October.

Average absence per episode fell from 4.1 to 2.7 days in the first year, the HR lead reports; 38 D4 medicals reported the same day; 212 flu jabs in a morning. One invoice a month by employee reference.