And it isn’t the way the Department of Health does it in the NHS.
I suspect this is an indication of the ingrained habit of DoH and NHS administration, that people have to be used to do repetitive things, and it was out of date last century.
In each area:-
Set up a list of doctors and one of each other set of people of interet.
(You can do this by advertising the existence of the list and letting people sign up to it, but this may lead to you realising many people don’t pay any attention, and some may fail at it, so by all means make that list. Then tell off one admin. person to keep it up to date.
At each subsequent layer – there may not need to be more than one, but whatever – hold a list of lists.
Now, each alert goes out to a listserver – one address. That list goes notionally to other listservers, and is echoed to the lists in the lists of lists.
The time from the desk of the PA to the Chiefe Medical Officer to my inbox should be around 11 minutes with this, and nobody gets in the way.
(Watch the movie “Wargames” – “We’ve got to get the humans out of the loop!”)
At present people are used at each level to badly perform the tasks easily done well by computers.
And that as well as daft and ineffective is one of the things to do that seems to me evil.
(Watch the movie “The Matrix” to get a feel for why).