A Check-in screen (possibly with a tablet as hardware) linked to R4 would be really useful:
1) This would allow patients to check themselves in on arrival
2) free up the receptionist
3) reduce queues at reception (& potentially irritated patients!)
4) could be developed and used re patient id e.g.: Pt's may be able to add a photo to R4 or even update specific details address / tel No's etc?