Journey Map — Outpatient Referral to Treatment Plan
A patient referred by her GP to rheumatology, scored from referral to treatment plan: the nine-week wait is computed as the moment of truth at −2 carrying 3 of 6 pain points, the treatment plan is the +2 peak, and the curve averages +0.3 with a 3-point drop from referral into the waiting list. Fictional hospital and figures, not clinical guidance.
Make it your own.
title "Outpatient referral to treatment plan — Kestrel Valley Hospital"
subtitle "Adult patient referred by her GP to rheumatology with suspected inflammatory arthritis"
note "Illustrative example: Kestrel Valley Hospital is fictional; the persona, quotes and figures are invented and are not clinical guidance."
persona "Ruth Adeyemi"
role: 52, primary-school teacher
goal: Find out what is wrong and start treatment before the autumn term
needs: A date she can plan around | One place for letters and results | To be told what happens next
frustrations: Repeating her history to every clinician
quote: "I don't mind waiting if somebody tells me how long."
phase "Before the clinic"
stage "GP referral"
time: Week 0
actions: Describes three months of joint pain and morning stiffness | Has bloods taken at the surgery
touchpoints: GP appointment, Referral letter
thoughts: "At least someone is taking it seriously."
emotion: +1 Reassured
opportunity: Give the patient a copy of the referral and the expected wait
owner: Primary care
metric: Referrals with blood results attached 64%
stage "Waiting list"
time: Weeks 1–9
actions: Waits for an appointment letter | Phones the booking line twice
touchpoints: Letter, Booking line
thoughts: "Have they lost my referral?"
emotion: -2 Anxious
pain: No acknowledgement that the referral arrived | Booking-line queue averages 28 minutes | Symptoms worsen with no interim advice
opportunity: Text acknowledgement with the estimated wait | Interim self-care and flare advice
owner: Patient access
metric: Referral to first appointment 9 weeks (local target 3)
stage "Pre-visit"
time: Week 9
actions: Receives the appointment letter | Completes a symptom questionnaire
touchpoints: Letter, Patient portal
thoughts: "Finally — a date."
emotion: +1 Relieved
pain: Questionnaire repeats questions the GP already asked
opportunity: Pre-fill the questionnaire from the referral
owner: Outpatients
metric: Questionnaire completion 58%
phase "Diagnosis & treatment"
stage "Clinic visit"
time: Week 10
actions: Sees the consultant | Joints examined and an ultrasound requested
touchpoints: Reception, Consultant, Clinic letter
thoughts: "She explained everything properly."
emotion: +1 Reassured
opportunity: Same-day ultrasound slot within the clinic
owner: Rheumatology
metric: Clinics running to time 72%
stage "Tests"
time: Weeks 10–13
actions: Books the ultrasound separately | Waits for results
touchpoints: Imaging department, Phone
thoughts: "Nobody has told me whether the results are back."
emotion: -1 Worried
pain: Imaging booked through a separate line | Results visible to staff 9 days before she hears
opportunity: Release results to the portal with a plain-language note
owner: Imaging
metric: Ultrasound wait 16 days
stage "Treatment plan"
time: Week 14
actions: Agrees a treatment plan with the consultant | Joins a nurse-led education session
touchpoints: Specialist nurse, Pharmacy, Patient portal
thoughts: "Now I know what the next six months look like."
emotion: +2 Hopeful
opportunity: Shared care plan visible to her GP
owner: Specialist nursing
metric: Treatment started within 6 weeks of first visit 81%