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Case study · Healthcare

Patients book online, diaries stay in sync

Clinic groups lose bookings to competitors who let patients book online. This is how we built a booking platform with real-time availability from the practice system, deposits, reminders and a patient experience that works on any device.

Project overview

Online booking with live diary integration.

Industry
Healthcare
Client
Confidential
Solution
Online booking
Platform
Responsive web
Timeline
10–16 weeks
Team
5 people
Integration
Practice management system
Payments
Deposits and prepayment
Accessibility
WCAG 2.2 AA

Expected business outcomes

What the client set out to achieve

Online share of bookings and no-shows are the measures.

  • 30–50% Of bookings made online

    Patients book outside opening hours.

    Target range after launch and promotion

  • 15–30% Fewer no-shows with deposits

    Deposits and reminders reduce missed appointments.

    Target range for services requiring deposits

  • Live Availability

    Slots from the practice system, so no double bookings.

    Where integration is real time

Business challenges

Where the client started

Booking happens by phone during opening hours.

Booking

Phone only, during clinic hours.

Availability

Patients can't see free slots.

No-shows

No deposits for high-value appointments.

Reminders

Manual calls the day before.

Competition

Competitors take bookings at 10pm.

Proposed solution

What the platform covers

A fast booking flow backed by live diary data.

  • Service search

    Search by treatment, clinic, clinician and date.

  • Live availability

    Real-time slots from the practice system.

  • Deposits

    Deposits or full payment for selected services.

  • Reminders

    Email and SMS reminders with self-service rescheduling.

  • Intake forms

    Pre-appointment forms completed online.

  • Booking analytics

    Conversion and demand by service and clinic.

Project requirements

What the client asked us for

The request was online booking. Accuracy is everything: availability must come live from the practice system so online and phone bookings never clash.

The booking flow is designed for mobile, where most patients book.

What the project had to deliver

  • 01Real-time availability
  • 02Mobile-first booking
  • 03Deposits where needed
  • 04Automatic reminders

Key challenges & considerations

What made it harder, and what we did

  1. Practice system integration limits

    What we did

    Availability was read in real time as far as the practice system allowed.

  2. Complex appointment types

    What we did

    Appointment types were configured with their own rules and durations.

  3. Clinician preferences for booking rules

    What we did

    Booking rules were configurable per clinician.

  4. Health data regulations

    What we did

    Health data was handled under the applicable regulations, with access recorded.

What we watched for

  • Integrate availability in real time
  • Design for mobile first
  • Keep booking rules configurable
  • Launch in pilot clinics

Development process

Integration first

Live availability is proven before launch.

  1. Stage 1

    Booking rules

    Appointment types and rules agreed per clinic.

  2. Stage 2

    Integration

    Practice system availability and booking sync.

  3. Stage 3

    Booking flow

    Search, booking and payments built.

  4. Stage 4

    Pilot clinics

    Online booking launched at pilot clinics.

  5. Stage 5

    Rollout

    All clinics with marketing support.

Technology stack

Booking platform with live integration

Built for accuracy and speed.

Front end

  • React or Next.js
  • TypeScript
  • Accessible design system

Back end

  • Node.js or .NET
  • PostgreSQL or SQL Server
  • REST / GraphQL APIs

Cloud

  • Azure or AWS
  • Managed databases
  • CDN

Quality

  • Automated tests
  • CI/CD
  • Monitoring and alerts

Quality assurance & deployment

Tested every sprint, released without drama

Testing ran alongside the build, not after it. Every feature was checked against its acceptance criteria in the sprint it was built in, and releases went through an automated pipeline.

  • Automated unit and API tests, run on every change
  • Code review by a second engineer before anything was merged
  • Feature testing against written acceptance criteria
  • Cross-browser and responsive checks on the agreed devices
  • Security checks on access, sessions and data handling

Deployment

  • 01Pilot clinicsOnline booking launched at pilot clinics.
  • 02RolloutAll clinics with marketing support.
  • 03Automated release pipelineThe same build moved from staging to production, with a tested rollback.
  • 04Monitoring and warrantyError and uptime monitoring from day one, and six months of free bug fixing.

Final deliverables

Bookings that happen while you sleep

Patients book online at any time with live availability, pay deposits where needed and receive reminders, and clinic diaries stay in sync.

Reception teams spend less time on the phone.

  • 24/7 online booking
  • Live availability
  • Deposits
  • Reminders and rescheduling

Handed over to the client

  • 01Production applicationDeployed and monitored
  • 02Source codeIn a repository the client can access
  • 03Technical documentationArchitecture, setup and deployment
  • 04Test suite and pipelineSo later changes stay safe
  • 05Six-month warrantyFree bug fixing after delivery

Success metrics

How success is measured

MeasureOutcomeHow it is measured
Of bookings made online 30–50% Target range after launch and promotion
Fewer no-shows with deposits 15–30% Target range for services requiring deposits
Availability Live Where integration is real time

Verified reviews

What clients say about our web development work

Verified reviews from our clients on the same kind of work, published on Clutch.

5.0 27 verified reviews

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