Key Takeaways
- Scenario 1166 is 09:20 fracture-clinic plaster-check DLR — not morning visit, imaging, pharmacy, vax, fasting, INR, infusion, TTO, dialysis, MH DNA, antenatal, dilate-wait, audiology, phlebotomy, derm biopsy, physio DNA, SLT, chiropody, or orthotics collection.
- A “come in for plaster” SMS without delivered is a queue that still thinks the patient is on the bus.
- Priced by devices and SMS send volume. You use your own phone and operator SMS credit. Free is 300 SMS lifetime, 1 device. Developer is 25,000 SMS per year.
- Starter is 2 devices; the clinic spare still counts.
- Hold fundraising CSV until plaster DLR drains.
- Canary the fracture SIM at 09:00, not at last night’s EPR health check.
Summary
Scenario 1166 is fracture clinic: plaster check at 09:20, DLR before the patient leaves home, raffle CSV held until that wave drains. Service pricing is based on device count and total SMS sent through the gateway. You need a working Android phone with a SIM and SMS credit from your mobile operator. Operator message costs are yours—we do not sell carrier SMS balance.
If the EPR says attend and the handset never reports delivered, you did not recall. You printed a slot the patient never saw.
Not a CodeCanyon “clinic SMS” pack. Device meters apply — Twilio vs Android SMS gateway.
Key takeaways
- Scenario 1166 is 09:20 fracture-clinic plaster-check DLR — not morning visit, imaging, pharmacy, vax, fasting, INR, infusion, TTO, dialysis, MH DNA, antenatal, dilate-wait, audiology, phlebotomy, derm biopsy, physio DNA, SLT, chiropody, or orthotics collection.
- A “come in for plaster” SMS without delivered is a queue that still thinks the patient is on the bus.
- Priced by devices and SMS send volume. You use your own phone and operator SMS credit. Free is 300 SMS lifetime, 1 device. Developer is 25,000 SMS per year.
- Starter is 2 devices; the clinic spare still counts.
- Hold fundraising CSV until plaster DLR drains.
- Canary the fracture SIM at 09:00, not at last night’s EPR health check.
Related reading
healthcare SMS, SMS delivery reports, how an Android SMS gateway works, NHS broken arm or wrist.
Context
Radiology logs the check at 08:50. Patients leave desks at 09:10. Comms still wants a raffle CSV.
Free (300 SMS lifetime) is a rehearsal clinic. Developer is 25,000 SMS per year.
Core scenario guidance
09:20 is plaster DLR, not “any clinic SMS.” Timezone is the fracture room, not the trust HQ.
Plaster DLR roles
| Role | When | Typical fail |
|---|---|---|
| Plaster check 09:20 | 09:10–10:30 clinic local | Submit 200, undelivered, patient still commuting |
| Failed DLR retry | 12 min after first fail | Retry dumped onto raffle SIM |
| Portal OTP | Transactional, own pool | Dumped onto the plaster radio |
| Fundraising CSV | Held until last plaster DLR | Released at 09:15 into clinic SMS |
Cost and ownership
Priced by devices and SMS send volume. You use your own phone and operator SMS credit. The plaster spare is a billed device. Undelivered retries burn airtime.
Name a 08:45–12:00 on-call for fracture mornings, not only IT weekdays.
Operations
09:00 canary. Abort: hold raffle, keep portal OTP, skip a second “all fractures” blast. Do not “resend clinic.”
Security and compliance
Short bodies. No NHS number plus laterality in one SMS. Authenticate EPR hooks. Raffle lists are promotional.
Decision guide
Ship when 09:00 canary is green and DLR webhooks land. Delay if the phone charges in a locked plaster room after 16:00. If handsets are forbidden, CPaaS for portal OTP.
Checklist
- Plaster SIM paired overnight.
- 09:00 canary.
- DLR webhook before 09:20.
- OTP isolated.
- Raffle held.
- Airtime before 08:45.
- Battery exemptions.
- Clinic locale.
- Fracture-morning on-call named.
- Device cap includes spare.
Next steps
Review device and SMS volume pricing, device setup, SMS API documentation.
Deep dive: production hardening
Porters unplugging USB at 08:40 is an outage at 09:20. Watch DLR, not EPR 200s.
Deep dive: scaling and failure modes
Multi-site fracture weeks add devices before inventing a hidden unlimited-handset SKU. Raise OEM ceilings; fair-use remains.
Deep dive: integration discipline
Idempotency on encounter_id + kind (check|retry). MCP is a REST wrapper — live fields in Developer Center.
Priced by devices and SMS send volume. You use your own phone and operator SMS credit.
09:00 plaster drill
Canary. Fail first DLR; confirm retry on the plaster SIM. Hold raffle during the wave.
Related product pages
Jump to the live product docs for this topic—not another long-form article.
- SMS delivery reports (DLR)Delivery status tracking
- transactional SMS for orders and alertsEvent-driven messages
- SMS webhook integrationInbound and status events
- SMS API documentationLive endpoint reference
