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A computer based visual simulation model, made up of a complex data input component to define the clinic logistics, and an iconic visual simulation representation to show the effect of the policy has been built using a variety of commercial application packages. Visual simulation has made it possible to show interested parties in hospital outpatient clinics how the clinic appointment and operating policy can influence patient waiting time. The package has been tested at 20 tests sites in the United Kingdom, and interest is such that further modifications to the system have been proposed. A user support centre has been set up to give advice to any outpatient clinic in the U.K.'s National Health Service.