NHS – The Information Badger

Statistics show that >80% of the UK population engage in online shopping, an impressive number given Amazon et al only launched in the 1990s. The Badger uses Amazon, amongst others, because the ‘customer journey’ from choosing goods, payment, through to and including delivery, is straightforward, reliable, and provided with informative tracking information about the journey of the goods. This ‘customer journey’ is founded on solid, integrated IT, designed to engage and communicate with the customer throughout the whole process. Good, proactive, interaction with customers is a norm in today’s online world, which means that any public facing service that doesn’t have it sticks out like a sore thumb!

Last week the Badger visited a neighbour, a statistician long retired from the UK Civil Service, who’d recently had a fall in the street. Their wife invited the Badger round for coffee and a chat to lift her husband’s spirits. The coffee was good, the conversation lively, and her husband’s spirits were indeed lifted! Given their Civil Service career, government and the NHS inevitably came up in our conversation. At one point the Badger laughed when the statistician asserted that ‘All governments are somewhere on the incompetency spectrum’. They were forthright about the NHS too, saying ‘Unlike Amazon with its customers, the NHS doesn’t engage and communicate with patients on waiting lists at all’.

What triggered this remark is the fact that a NHS hospital consultant told them a year ago not only that they needed an operation, but also that its clinical priority meant it would happen within 2 to 3 months. After 3 months had elapsed with no communication from the hospital, the statistician called to enquire what was happening only to be told they were on the waiting list and would hear something soon. After another 3 months of no contact, they enquired again and got the same response. A year has now passed and there’s been no proactive communication from the hospital at all. Understandably, their trust in the NHS has almost completely evaporated. It wasn’t surprising, therefore, that we decided during our conversation that government should get Amazon to implement proper, ‘customer journey’-like, 21^st century ‘patient journey’ engagement, IT, and waiting list communication practices for the NHS. Radical, wacky? May be, but the status quo isn’t working. Not proactively communicating with patients who’ve been on waiting lists for months sticks out like a sore thumb as being behind the times and is plain wrong!

The IT for the online shopping ‘customer journey’ is well established, so surely its principles and mechanisms can be adapted to proactively keep patients informed during their ‘patient journey’? The government’s consulting about NHS changes but can it cut through NHS vested interests? It has to, because there’s a mountain of waiting list patients who’ve already lost confidence that this complex 20^th century supertanker will ever be truly fit for the 21^st century…

There’s one thing currently dominating the chatter of many people the Badger encounters, and that’s the UK Budget on the 30^th October. ‘How is it right for me to pay more tax for politicians to fritter away, when the Prime Minister doesn’t buy his own clothes or glasses?’ one pensioner commented. The Badger tries to maintain political neutrality, but there’s little doubt that the new UK government has got off to a bumpy start. However, it’s now starting to flesh out its ‘Change’ agenda and also setting expectations regarding the budget. On the former, for example, the government is calling on the nation to ‘help fix our NHS’. As reported in many places, e.g. here, it wants people to share their experiences and ideas given that we are all users of this huge institution employing more than 1.34 million people. The Badger, having had some exposure to NHS IT during his career and as a patient, has thus contributed to ‘help build a health service fit for the future’ via the government’s website here.

The NHS has been a political football for decades. There’s a regular clamour to give it more money. When it gets additional money, however, it never seems to make an impact, other than to fuel clamour for even more funds – at least that’s how it seems to the Badger. The NHS’s use of modern, integrated, IT is woeful, as neatly illustrated by this New Statesman article in March. By IT, the Badger means the systems that support basic operational processes within and across the NHS’s entities, not the diagnostic and robotic tools that get airtime in the media.

People often tell the Badger of their frustrating NHS experiences, most of which involve aspects where IT plays a part. For example, an NHS phlebotomist bemoaned needing 13 different logon/passwords to deal with blood tests. A relation was appalled on receiving a letter confirming a hospital appointment with Audiology when it should have been with Cardiology! A neighbour was dismayed when a consultant at a post-operative outpatient appointment told them they couldn’t find a CT scan ‘on the system’ even though the scan happened 6 weeks previously at the same hospital. A pensioner, referred from a local hospital for urgent follow-up at a regional hospital, enquired after hearing nothing for 2 months only to be told that ‘there’s no record on our system’ of the referral. The list of similar experiences is long.

Building a ‘health service fit for the future’ is like modernising every aspect of an aging, super-sized, jumbo jet while it’s flying with only one temperamental engine. Few government transformation programmes deliver real change to time and budget, but this one must break the mould, or the jumbo will soon spectacularly crash. That’s why the Badger has not only contributed on the website here, but also urges you to do the same regardless of your political views.

Category: NHS

The NHS doesn’t engage or communicate with patients on waiting lists at all…