I had an ultrasound appointment at the Great Western Hospital in Swindon at 11:45 yesterday (12th July 2026).  I understand that the operator does 30 ultrasounds per day so it wasn't a long appointment.  So how did I do that by public transport?  Is public transport adequate for such journeys?  What could be done to improve it?

I left home at 07:55.  I walked in again at 15:35.  Elapsed time 460 minutes. The appointment started on time and was over in 15 minutes.  That's 3.25% of the time I was away from home.

I caught the 08:32 train from Melksham to Swindon, arriving there at 08:58.  The bus from Fleming Way to the hospital runs 2 times an hour on Sundays, and the next train at 10:57, into Swindon at 11:26, would have left me around 20 to 30 minutes late for my appointment. 

I could have left home as late as 08:10 to - just - catch that train but left myself a few minutes slack.  I could have caught a bus straight after the appointment and connected with the 13:32 train, 13:56 at Melksham Station, and that would have been 14:20 home, and online reporting tells me that train was on time. That would have been 370 minutes with a mere 15 minutes appointment - still just 4% of the time I was away from home.  But I chose - and it has muddied the waters of this log and report - to take advantge of being out and about and do other things when the opportunity of time and place offered.

The question I started with - "is public transport adequate" - clearly is answered with a "yes".  It got me there, it got me home.  But if I asked the question "was it the most efficient" in terms of my time, no, the round trip driven by private car, plus parking, safety margin, etc, would have been 10:30 from home and back by 13:00, 150 minutes, appointment 10% of the time away from home.   Still not wonderful time use.   If the train ran every hour, with an 09:32 or an 09:57 in to Swindon, that would be a fair solution - still twice as long away from home as driving myself door to door, but a massive improvement and I suspect many other people would use it - especially as they may not feel like being committed to driving after a medical procedure.

Another example of where a reliable, hourly-or-better train service from Melksham and buses that connect with the trains at both ends should result in a major modal shift for people on this (quite low volume) flow and on many other flows that share the same transport along the way.

[Spoiler - the scan gave me a medical more or less "clear". Unlike the scan in March which lead to a phone call "come into hospital NOW" which fixed something before it was life changing.  So happy with the results; not as I was a year or five ago, but able to walk 10kms during the day, so not entirely incapacitated though I slept afterwards!]

 

Sounds simple.  Many moons ago I seem to remember that a few of our bus runs were timed for a five minute train connection wait.  From memory, traffic and passenger delays meant we rarely arrived on time.  Usually arrived well after our departure time, regardless of whether the train had come (or gone).
So we would arrive late (frequently very late), pick up whoever was there, and go.

If you are going to task a bus to wait for a train, it would have to be a dedicated driver and vehicle, and would wait until the train arrived, regardless of the bus schedule that was to follow that timetable.

Too many variables unfortunately.