WRITTEN ON July 19th, 2008 BY Ruth Kennedy AND STORED IN Design: user-oriented, What do we want?

I finally got to experience Choose and Book. Some teething problems:
1. Need referral to orthopaedic consultant. GP says she’ll make referral (can’t do choose and book in the surgery for some reason)
2. A week later I receive a letter with a special number to ring. It tells me I will have been given a password by my GP. But I haven’t, it’s included on the next piece of paper (does that undermine the security procedures somewhat I wonder?)
3. The letter has 3 sections. Section one tells me my details, my reference number etc. Section 2 tells me I have 3 options to get info to help me make my choice – I can use the phone, the textphone or the internet. Section 3 gives me the same 3 choices for booking my appointment, but points out that the online option is not yet available.
4. I ring the phone number (0845….). I am waiting for ages… (meanwhile the recorded message tells me I may prefer to use the online option – though given the info above about non-availability of the internet version, I am now too scared to lose my place in the queue so I keep holding)
5. I get through. They tell me that appointments for Kings don’t use the 0845 number, and I am given another number to call. *sigh*
6. When I speak to the bookings people at Kings, they offer me an appointment for early August. πŸ™‚ Unfortunately I am on holiday in Scotland then. πŸ™ I ask if I can have an appointment at the end of the month. ‘NO, unfortunately we aren’t allowed to book appointments that far away, because we have to meet the target of giving people appointments within 5 weeks’. Errr, even if I can’t make the appointment because I am away? ‘Yes, it’s rubbish isn’t it. Patient choice has gone out of the window’…. Tell you what love, I’ll ignore the system, and let’s book you an appointment that suits your diary.’

I think this may have been a problem more with wider targets about waiting times, driving perverse, un-patient-centric behaviour, rather than a Choose and Book problem per se. But WIBBI booking clerks didn’t have to break the rules to give one an appointment you can actually make.

3 Responses to “Choose and Book in reality”

 
James Munro wrote on July 20th, 2008 12:54 am :

Great story. And a nice example of how easy it is to design systems which are supposed to solve one problem, but create another. The “advanced access” system for seeing your GP faster (but actually often slower) is another.
Do you feel up to posting this account on Patient Opinion? We have a growing collection of Choose and Book tales there.

alex wrote on July 21st, 2008 8:56 pm :

Ruth,

The point you seem to have missed is that the NHS is now a technocratic nightmare, rather than a bureacratic one ?

We are piling bad processes designed with bad technology onto ( normally ) helpful employees. Where they then have to go to help the patient is around the system.

This happened on the Siberian tundra and Georgian steppe in the early 20 century as well.

Ruth Kennedy wrote on July 28th, 2008 8:01 pm :

James – happy to do so. Anywhere in particular?