There was another version of that sign done a while back that said "family planning advice - go to Africa and buy one" that was spammed all over the net when the Madonna controversy was raging. but being so clearly a fake it wasn't half as well known as this one, which (could, maybe) be real. But as elle said. It isn't.
"The public relations department at Northampton General Hospital (NGH) issued the following statement to its employees: 'I am sure many of you will be aware of a spoof NGH directional sign for a family planning clinic that is being widely circulated via email and the internet. Although it is amusing, it is a hoax."
Hope in reality is the worst of all evils because it prolongs the torments of man.
-- Friedrich Nietzsche