What follows is an intemperate rant.
The Bassett Family recently moved from London (population 7.3 million) to Lymington, a small market town in Hampshire (population 14,000). As we have two children and a trampoline, part of settling in was to go online and recon the local health facilities. In particular, I wanted to know where to go in the event of an emergency.
We are not entirely new to the area, and know that Lymington has a small hospital situated on its outskirts. I started my search with the intent of finding out where exactly the hospital was located, whether it has an A&E department, and what the opening hours are.
So I went to Google, and searched for ‘Lymington Hospital’. Top of the list was a site for the New Forest Primary Care Trust (NFPCT), and the link took me to a page about the hospital. Next to a photograph of the old hospital, the text informed me about the wide range of treatments available at the new hospital and informed me of the address. No details though – no opening times, or details of A&E. So I started to browse the site, seeking the specific information I needed.
In the following ten minutes I discovered the following. The NFPCT runs several community hospitals including Lymington, New Milton, and Fenwick. They welcome my comments and feedback. The PCT is a ‘busy, thriving organisation and as such has a lot to say’. The PCT adheres to the Freedom Of Information Act (2000). Fascinating. But no sign whatsoever of the simple snippets of information I needed.
So I navigate back to the homepage, where I find this simple statement
New Forest Primary Care Trust is now part of Hampshire Primary Care Trust and no longer exists in its own right.
‘This website is not live.
You can still access pages for reference purposes (e.g. to find documents that were stored on this website as part of our commitment to Freedom of Information) but this website will not be updated and should not be regarded as current.’
So lets get this straight. The NHS deliberately keeps a website available, providing out of date information about health services as a part of their commitment to the Freedom Of Information Act. Sure, the site contains some accounting and other information that may be of interest to local politicians, but is it not possible to archive these somewhere else, thereby avoiding the maintenance of a site for an organisation that no longer exists? Rattled, but not yet completely disheartened I opted to click through to the Hampshire Primary Care Trust website who now run Lymingtom Hospital.
The Hampshire PCT website homepage is encouraging
This is the website of the largest PCT in the country, Hampshire Primary Care Trust. Here you’ll find information on how we’re changing and improving healthcare in your area; advice on how to get the best from local health services and what you can do to improve your own health.
So they are big, and on the site I can get advice on how to get the best from local health services. Magnificent. So I navigate to the services page where I take heed of their instructions and go to the ‘Get The Right Treatment‘ page where I can ‘get information about emergency and out of hours help’
Here, at last there is some partially useful information - There is a full A&E department in Southampton (but no statement of opening hours), and there is a minor injuries unit and urgent care centre at Lymington Hospital which is open between 8.30am and 9pm. Mission nearly accomplished, I ask myself a reasonable question - under what circumstances should I go to the MIU in Lymington, and when should I head immediately for the full A&E in Southampton?
The Hampshire PCT website was ambiguous on this point, so I headed back to Google. Ignoring the first four indexed pages because they pointed to the defunct NFPCT site I selected the rather promising nhs.uk/servicedirectories link. This took me to the NHS Choices website and their entry for Lymington Hospital. This entry is truly atrocious.
The ‘Overview’ page informs me that
Lymington Hospital is a consultant-led hospital with medical beds including assessment beds, surgical beds and day case beds. There is also an operating theatre, endoscopy suite, outpatients department and a Minor Injuries Unit
Yet it does not tell me when the MIU is open. Navigating to the ‘Treatments‘ page does not help, as it only has five treatments listed, four of them beginning with the letter ‘A’. Is this a complete list? Or did someone just run out of time and fail to complete the rest of the entry? The fifth entry is the MIU, but there is no link for further information – just a statement of what I already know, which is that it exists.
The Facilities & Patient Support page is an astonishing mixture of incomplete and confusing information. ‘What Should You Bring To Your Appointment’ is apparently not important enough to have been completed whilst ‘Lead information’ (whatever that might be) is ‘not available’ anyway. So are opening times, and an actual description of the circumstances under which the MIU would be appropriate.
Finally, I navigate to the ‘Patient Feedback’ page, where I can read heart-warming tales of the dedication of the staff at the hospital, but cannot find out when it is open.
Exasperated by the paucity of useful information, I navigate to the ‘about’ page, which informs me that:
NHS Choices puts you in control of your healthcare.
This website has been developed to help you make choices about your health, from lifestyle decisions about things like smoking, drinking and exercise, through to the practical aspects of finding and using NHS services when you need them.
Really. Lets go over that again. My basic questions are ‘does Lymington Hospital have an A&E or equivalent, and when does it open’. The response from the NHS Choices website is to give me an obviously incomplete list of services, no definition of what an minor injuries unit covers, no hint of an opening time, and confusing information about patient services. I do, however, know that someone called Peter benefited from his visit.
This entire experience is extremely dispiriting. It is typical of organisations who are keen to embrace ‘web 2.0′, but forget that delivering a service online can be as simple as providing the information users require in an intuitive manner. Instead of investing time and effort understanding those basic needs and delivering against them, they leapfrog to complex, community based solutions which satisfy the higher level requirements of a small subset of users. The notion of the Choices website is excellent – It allows providers and users of healthcare services to interact online in an open and transparent manner. The problem here is that the basic information I need as a user of the healthcare system has been deprioritised during the head long rush to embrace complex interactive feedback mechanisms.
Please can someone take an objective look at this? All it would need is a systematic understanding of what users seek, and how best to deliver that information. Surely this is not beyond the NHS?