1. NHS111 Update DHU

2. What is it? For urgent medical issues (999 remains for emergencies) Available 24 x 7 NHS Direct 0845 service to be withdrawn Surgeries still the primary place for patients to call for a GP appointment Will direct patients back to primary care if appropriate - no ability to book appointments Ability to despatch and ambulance if condition assessed as an emergency

3. Roll out plan PhaseDateAreas Covered 1Oct 2011Bakewell, Matlock & Chesterfield 220 Feb 2012Rest of North Derbyshire 3March 2012Derby City 4August 2012Rest of Southern Derbyshire NationalApril 2013All

4. Benefits 1 Free call for patients (from landlines and mobiles) Better management of patients for urgent care - OOH e.g. less peaks and trough (and ED?) Reduced costs for practice if they stop transferring calls to DHU out of hours Patient given direction to most appropriate local service and better informed for the future - thus patients happier and less likely to need recourse to Primary Care May provide practices with comparative data on service activity

5. Benefits 2 Immediate ambulance dispatch if required; no re-triage A successful pilot will mean that the service is provided by the local DHU, rather than a national service Service available via Typetalk and in other languages Special patient notes can be used with 111, including frequent callers and Rightcare DoS also available to GPs

6. What does this mean to practices? All practice team to be aware of the service Display the promotional materials Remove all reference to 0845 NHSD number Update practice website, leaflet and in newsletter Inform patient group Decide whether to continue to divert the calls out of hours or ask patients to re-dial Receipt of the call information 3 minutes after call (if system configured to do so) Ability to provide feedback on any issues with the service No expected impact on workload

7. Funding 2011/12 in place 2012/13 - partial funding from NHS Direct contract 2013/14 to be confirmed

8. Procurement Led by EMPACT NHS111 and Out of Hours Need to develop service spec (national + additions)

9. Any Questions?