BNF Extended Feed Market and Audience Intelligence Team

Methods and sample • Online survey: 101 users of the BNF completed the survey (type ahead) • Interviews: – 4 pharmacists provided their views of 6 wireframes – 3 telephone interviews and 1 face-to-face interview

Drug information • Drug information searched for: – The BNF in Medicines Complete website is usually the starting point (64%) – Medicines/drug name are the most popular search terms (64%) – The name of the condition is never used as a search term • Specific BNF information looked for: – Specific BNF information: various, depending on the type of enquiry – BNF is one of the key sources

• A function that retains information about their previous visit is not valued by BNF users (54%) BNF users (21%) Retaining information from previous visits Least valuable Most valuable • However, it is important to link between BNF treatment summaries and NICE guidance and advice on a topic (78%) • The link will make things easier for users and would be useful for providing more detail/knowledge

Type ahead • Dropdown list – A useful shortcut to quickly see the relevant information – Particularly useful for those accessing a single piece of information – Length: drugs with similar spelling, e. g. Moxifloxacine vs. Moxonidine • Ordering: – 3 out of 4 though the ordering is fine and should be similar to the current BNF – 1 felt that it should be ordered based on frequency

Results page • Content: – Nearly 3 quarters rated the amount and type of information displayed ‘good’ or ‘extremely good’ – Repetitive information: e. g. oral and IV – The list doesn't follow alphabetically and needs a better way to order. • Layout: – Nearly 3 quarters (69%) rated the layout ‘good’ or ‘extremely good’ – Positive: 2 like the information separated into different boxes – Negative: 2 are used to see a big paragraph instead of separating the information into different boxes; extra work when copying and pasting • Navigation: Over 3 quarters ‘agreed’, it is clear and easy to navigate

Suggested improvements • Despite generally being positive about the enhanced BNF, users did also highlight further improvements: – Content: » include drug class, severity of the interactions, chapter summaries, etc. » side effects: the complete list with the (very) common side effects at the top. – Functionality: allow additional/ general information accessible through hyperlinks and/ or hover boxes – Layout: match existing layouts and Medicines Complete versions

Moxiflioxacin monograph • Layout: – cards: 2 felt that it’s nicely laid out; separated boxes are clear and easy to see; and less click is better due to internet connection – 3 columns: 2 thought that it’s less information to take in and less confusing • Content: level of information is fine but a bit repetitive, e. g. contra-indications with oral/ intravenous use • Navigation: easy to navigate

Suggestions • Layout of 3 columns: better use of space • Ordering: retain the current BNF layout/ text, e. g. Sinusitis is the 1 st in the list of indications • Print: options to select different pieces of information, e. g. print dialogue • Share: never use it (only 1 comment)

Ondansetron monograph • Layout: – Click tablet: 2 felt that it’s nicely laid out, a header on the top making it clear – Gov. uk: 1 thought that it keeps the key structure and easy to navigate • Content: – Level of information is appropriate – Useful information, especially price and manufactory • Breadcrumbs: 2 use it and 2 use back button

Suggestions • Layout – Gov. uk: cramped so need more space • Content: – Separate 4 mg and 8 mg – Alphabetical order for brand name – List the Drug Tariff at the top as they are the same

A-Z • Layout: – Nicely laid out, easy to find information, consistent with NICE website – useful for those who are not sure about the spelling or not familiar with BNF • Search: more likely to use search instead of A-Z • Drug topics using capitals: look fine • Expected next page: full monograph

Key findings • Nearly 3 quarters start their journey in the BNF Medicines Complete website and use medicine/ drug name to search • Type ahead and results page: positive received in general • Most preferred monograph: – 1 prefer click tablet, 1 like 3 columns but the space needs to be between gov. uk and even 3 columns and 2 like cards • A-Z page: more likely to use search function • Key improvements: – More information: renal impairment, pregnancy, drug class, discontinued drug, relevant guidance – Layout: better use of space – Less click is better due to internet connection issue • Overall it’s better than the current BNF.