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. 2005 Dec 3;331(7528):1325–1327. doi: 10.1136/bmj.331.7528.1325

Table 3.

Collecting and using directory information

Problem Solution
Source of directory information is often obscure Identify key data and most accurate source
It is nobody's job to maintain the source Include directory information in information governance role
Too many sources, no coherent map Map and reduce the number of sources
No single format for directory information Develop a national standard data format for all relevant kinds of directory information
Cannot rely on peers or traditional networks in view of shorter working week, rapid staff changes Use electronic media
Directory information changes fast—for example, contacts, laboratory tests, opening hours of pharmacy Someone must keep it up to date on a central site; discourage print outs
Maintaining accurate, up to date contact information takes a lot of work Reward those who succeed by including it in their job description
Most directories are designed for local users in a local context, but data increasingly needed at national level Ensure national standard format, context seen as national not local
Local NHS regularly reorganised Include directory information management as a function in every new organisation; anticipate and manage risks of disruption
Plurality of NHS service provision—private sector, overseas, other providers Encourage all service providers to use and contribute to NHS directory information
Disruption to work caused by use of synchronous communication channels Encourage use of asynchronous channels instead by providing email or voicemail details
Loss of key directory information caused by use of transient channels, such as mobile phones, Post It notes Use permanent channels
Print outs of electronic copy get out of date, and corrections are rarely propagated Do not print out
Data in diary or handheld computer is hidden from other team members and can get lost Download data, never modify it on handheld computer
Variable quality of NHS directory information Raise awareness of importance of directory information; use it; allow users to improve it; outsource capture and provision of other providers