Thanks to those of you who have been experimenting and reporting varying degrees of success. My fix wasn't originally intended for use on OCLC but it does work for several people. Try this version of the link in Step 6 and let me know if it helps:
[[localstem]]https://auth.elsevier.com/ShibAuth/institutionLogin?entityIDentityID%3Dhttps%3A%2F%2Fidp.eng.nhs.uk%2Fopenathens&appReturnURL={startencode}{URL}{endencode}
OCLC WorldCat Administrators (NHS England):
1. Log in to your admin account at https://worldcat.org/config and select your institution in the usual way
2. Go to WorldCat knowledge base
3. Choose Collection Management
4. Find Elsevier in the Provider/Collection list and then click View my collections and click the name of the ScienceDirect collection where you have any content
5. Click the Properties tab.
6. In the Collection URL line, replace what is currently there with the following:
[[localstem]]https://auth.elsevier.com/ShibAuth/institutionLogin?entityID=https://idp.eng.nhs.uk/openathens&appReturnURL={startencode}{URL}{endencode}
(make sure to copy & paste all of the above with no gaps)
7. SAVE YOUR CHANGES
Now test it. You should get to the right place without jumping through any of the hoops (apart from if there are multiple profiles set up on an individual login - e.g. if you've set up a profile for ScienceDirect mobile - you'll still see a choice of profiles)
THIS REALLY NEEDS TO BE CHANGED AT PARENT LEVEL but at least we can now do something about it locally. Please will the NHS Evidence people look into this as a matter of urgency.
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