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Surf's Up Volume 10 (3)



Lucy Johnson, King's Fund Library and Information Service

Remember when Tony Blair uttered those three magic words when winning the hearts and minds of the electorate?  No, not those three words (tut!); these ones: 'education, education, education'.  Nowadays, in relation to the NHS the policy theme seems to have altered slightly and the mantra has become: 'electronic, electronic, electronic' (which, of course, may lead on to the need for 'education, education, education' once the actual IT skills of the audiences intended to use all this electronic information have been properly assessed ...)

What is clear is that a proliferation of 'official' health web sites has emerged.  The list ranges from the National electronic Library for Health to NeLH's patient floor, NHS Direct; it includes the site of the NHS Information Authority; and it brings in along the way sites such as HAZnet, a tool for linking together the Health Action Zones around the country, the site of Our Healthier Nation, the NICE pages and the site for the NHS Beacon Services.  Many of these do contain highly useful information, presented in a clear way; however, there is always the question nowadays of which one to turn to first?

It seems that the Web designers are ahead of the game in anticipating this question.  Yet another site has very recently come out of the NHS information machine, Nhs.uk.  This, it seems, is designed to co-ordinate the output of all these other sites and, in its own words, 'will provide a strongly branded gateway ... to NHS web sites, and licensed or accredited web sites and services, linking sites and providing added value through 'editorial' such as news'.  This sounds good but when it started out there was very little on the site at all.  I waited with baited breath to see what gems it might signpost.  That sounds utterly cynical but in fact it's true; one of the few things which Nhs.uk first put up on its pages really was a bit of a jewel, albeit one which required considerable mining skills to find.  The Red Book, that bible of fees and allowances for GPs is up on the web at www.nhs.uk/redbook.  The URL works fine like this, typed into a browser's the Locator box; however, it's more difficult to find via the home page of Nhs.uk. Nhs.uk has grown since its first days and now holds a searchable database of local services, the NHS Plan and information about the history of the NHS.

Another of the 'official' sites to have come to public prominence in the last few weeks is that of the Public Health Observatories.  These eight observatories, springing from the Saving lives: our healthier nation white paper, are to be linked together to form a national network of knowledge, information and surveillance in public health, part of which network will be shown on the Public Health Observatories' 'umbrella' Web site.  Currently, the Web site contains details about the observatories, how they are being set up and the policy that sits behind them.  The site is full of techno-joy, containing downloadable presentations, Word documents and links to other sites of interest, such as the National electronic Library for Health and sites connected with the eight regional observatories as well as, perhaps surprisingly, to other non-health related observatories, such as the Vatican Observatory and the Royal Observatory Greenwich.

A big hurrah to the Department of Health's statistics people: the 'official' statistics available on the Department's site have grown in number lately.  It is now possible to find many different statistics, including those relating to complaints or prescriptions or even alcohol intake and the numbers of smokers.  If you want to find out which Health Authorities are considered the best - or worst - in the land, however, you should turn to The sick list, the ranked list created by Channel 4 and The King's Fund earlier this year.  The Authorities are ranked according to six performance indicators: deaths from cancer (per 100,000 people); deaths from heart disease (per 100,000); total number of people on hospital waiting lists (per 1,000); percentage of people on waiting lists waiting over 12 months; number of hip operations (per 100,000); and deaths from 'avoidable' diseases (per 100,000).

Lastly, if it's that seemingly very elusive snippet of information that you require from the web: brief contact details of NHS organisations (the sort of information which you think should be there but more often than not isn't), you could try going straight to Lyra Medical Ltd in the first place, instead of hunting around in a variety of other web sites.  The reason?  Lyra has brought together the telephone numbers of NHS Trusts, Health Authorities, Community Health Councils and Primary Care Groups in one place.  It also provides a searchable database of individual medical specialists or clinicians in every specialism listed by the General Medical Council.  You can even submit your own clinical experience range by visiting the Lyra site or by dropping them something in the post.

After all that, if you are utterly fed up with all these unfriendly statistics and pieces of policy, if you are bored with hard information generally, you could always turn to something rather more soft and cuddly.  Those of you who remember Oliver Postgate, Peter Firmin and the Small Films company will be delighted to know that there is a site dedicated to those small, furry creatures of yesteryear, the Clangers.  There is enough on this site to keep almost anyone busy during their (ahem!) lunch hour.

Last updated October 2000.

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Web Editor Anthea Sutton