I mean diving surely, that's the analogy that just leapt into my head. Loads of digital Tom Daleys

Just need to borrow some opinions now...

To say that poor provider performance is solely down to poor mgmt is reductive in the extreme.

Yes, we're about to launch the next national usability survey actually (30th Sept), to add even more data to the research. But yep, about 2/3 of factors affecting usability have nothing to do with the system itself. Training and engagement are key, as is infrastructure.

You need to meet procurement then 😉

I think procurement frameworks are partly to blame, with a feeling that if a system is on a framework it must be usable. But usability isn't tested there either. It's not tested at all which leads to this image. The NHS is WAY worse at putting EPRs in than the rest of the developed world.

I think a good analogy is buying a car because it ticks the boxes of wheels, windows, seats etc but never driving the thing to see how that functionality all comes together to see how it actually FEELS to drive.

I guess tracking number of clicks just tells you that systems might be different, but more clicks doesn't equal worse usability? How might you evaluate accessibility?

I seem to have a fair few design folk following me, do any of you have good suggestions about objective usability measures like clicks/eye tracking?