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NHS Patientline 49p per minute Ofcom Investigation (Read 542,095 times)
NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #165 - Jan 9th, 2006 at 9:29am
 
I'm sure pw4 should in fact be dl1.

Also if the Patientline director who saw the original business opportunity for Patientline was so concerned about people being able to communicate with relatives in hospital then why did he impose the 49p per minute incoming Patientline phone numbers.

As to the aeroplane tank fuel problem the issue stems from the TWA jumbo that blew up due to faulty old wiring causing a spark in the fuel tank.  I assume the risk in an aeroplane fuel tank is much larger due to the far greater surface area of fuel?  Also the consequences in an aeroplane of any such explosion are terminal.  Such an explosion in a car or bus fuel tank would probably be survivable.
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« Last Edit: Jan 9th, 2006 at 10:19am by N/A »  
 
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #166 - Jan 9th, 2006 at 9:31am
 
pw4 wrote on Jan 9th, 2006 at 12:50am:
Patientline holds no contract with any NHS in the UK to fit its systems in hospitals.


It just holds them individually with the PatientCare Trusts then I suppose rather than with the NHS as a whole.

Split hairs all you want but the end result for patients is the same.
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firestop
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #167 - Jan 9th, 2006 at 9:56am
 
Yes, the analogy to explosions on a bus were truly pathetic, but exactly what would be expected from Patientline!
It's a wonder they have not come out with something like "Having a Patientline terminal by your bedside can protect you from MRSA/Aids/Mumps/negligent doctors/big explosions (tick the boxes you prefer) - and all for only 49p per min".
Come on pw4 (aka dl1), make us some offers Grin
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #168 - Jan 9th, 2006 at 10:02am
 
pw4 wrote on Jan 9th, 2006 at 12:50am:
Quote:
The theoretical risk on an aeroplane of causing a spark in a fuel tank from all those mobile phone signals seems a more genuine concern worth worrying about.

I was unaware of this risk. Where did you hear this? Is there a higher risk in a bus where the passengers are closer to the fuel tank and the fuel is more volatile?

Several times I've been in a plane on the ground during a stop-over and we've been told to switch off mobiles during re-fuelling, but could switch them back on afterwards.
Petrol station forecourts also often have a sign about switching off mobiles - not that anyone yakes any notice.
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #169 - Jan 9th, 2006 at 10:07am
 
pw4 wrote on Jan 9th, 2006 at 12:50am:
Quote:
I don't believe there is any real danger in mobiles being used in hospital but they are banned just on the theoretical outside possibility that they might interfere in some way or other with an ancient non suppressed piece of old life support equipment or other owned by the NHS.

You are mistaken. Tests have been conducted with a range of medical equipment and some found to be susceptible.

Can you substantiate this with some references please?
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #170 - Jan 9th, 2006 at 10:12am
 
pw4 wrote on Jan 9th, 2006 at 12:50am:
Quote:
Ditto with the Patientline contract with the NHS apparently denying all other sources of television entertainment being allowed to remain.

Patientline holds no contract with any NHS in the UK to fit its systems in hospitals. The ban on TVs is true to a point - the concession agreements held by companies including Patientline

What's a "Concession agreement" if it's not a specific type of contract?
Attempting to play semantics like this just demonstrates how desparate Patientline are and how little justifiable reason they have in their favour.
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #171 - Jan 9th, 2006 at 10:26am
 
trevord wrote on Jan 9th, 2006 at 10:12am:
What's a "Concession agreement" if it's not a specific type of contract?  Attempting to play semantics like this just demonstrates how desparate Patientline are and how little justifiable reason they have in their favour.


If Patientline reduced the tv watching charge to £1.50 per day and changed the incoming phone number to 0870 (where call costs fall as low as 1.5p per minute at the weekend) then I'm sure the furore about Patientline would die down.

I would have thought an increase in usage levels would offset the lower charges plus in any case its obvious that the cost of new bedside terminals must have fallen heavily since Patientline started due to the advent of cheaper TFT screens etc, etc.
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #172 - Jan 9th, 2006 at 4:01pm
 
Quote:
... if the Patientline director who saw the original business opportunity for Patientline was so concerned about people being able to communicate with relatives in hospital then why did he impose the 49p per minute incoming Patientline phone numbers.


He didn't. The cost was 50p per minute when Patientline started.
I can't answer for Patientline's policies on pricing, and must presume that the rates are set at the level that the company believes are required to achieve the revenue needed to cover its operating costs, repay its borrowings and provide a return for its investors.


Quote:
As to the aeroplane tank fuel problem the issue stems from the TWA jumbo that blew up due to faulty old wiring causing a spark in the fuel tank.


I was not aware of that incident.


trevord wrote on Jan 9th, 2006 at 10:02am:
Several times I've been in a plane on the ground during a stop-over and we've been told to switch off mobiles during re-fuelling, but could switch them back on afterwards.


I didn't know that - I've never been in a plane during a refueling stop. My experiences when flying have always been that mobiles must be turned of before taxi-ing for take-off, and not switched on again until well out of the aeroplane at the destination. The reason given is interference to aircraft systems. There are also restrictions for this reason on CD players, DVD players, and laptops fitted with CD or DVD drives. The fact that the request to switch off comes after boarding suggested to me that it was unconnected to fuel tanks.


trevord wrote on Jan 9th, 2006 at 10:07am:
pw4 wrote on Jan 9th, 2006 at 12:50am:
Tests have been conducted with a range of medical equipment and some found to be susceptible.

Can you substantiate this with some references please?


I regret I cannot, if by references you mean URLs or pointers to published documents. I have seen the document that was provided to hospitals, so I aware of its contents. I believe I may have a copy somewhere, and if can find some more details I will indeed post something - but I'm afraid holding breath would be inadvisable. Off the top of my head I can't even remember the name of the NHS Arm's Length Body that produced it. Most ALBs were disbanded last year and their functions absorbed into others or into the DoH.


trevord wrote on Jan 9th, 2006 at 10:12am:
What's a "Concession agreement" if it's not a specific type of contract?
Attempting to play semantics like this just demonstrates how desparate Patientline are and how little justifiable reason they have in their favour.


A concession agreement is a contract. I did not state, nor meant to imply that it is not. It is the specific type of contract that applies when one business is carried out on the premises of another, such as retail outlets in stations and airports. Various concessions are awarded within hospitals such as retail outlets, fast food outlets, and patient TV and telephone terminal systems, so it is the appropriate term in this case.
My point was that the impression given in some postings was that Patientline has been given some form of exclusive contract to install in all the hospitals in all of the NHS's in the UK. In reality, Patientline has had to negotiate a concession agreement (ie: contract) with each hospital Trust, and in many cases has had to win it in competition with other suppliers.
And it wasn't Patientline that used the term in this thread, it was I.


Quote:
If Patientline reduced the tv watching charge to £1.50 per day and changed the incoming phone number to 0870 (where call costs fall as low as 1.5p per minute at the weekend) then I'm sure the furore about Patientline would die down.


I would agree (once I've recovered from the shock of NGM suggesting that a company should use an 0870 number).
In fact, the numbers for contacting patients through Patientline in some hospitals are 0870.


Quote:
I would have thought an increase in usage levels would offset the lower charges ...


You may be correct. Clearly Patientline does not concur. I don't know one way or the other.


Quote:
... plus in any case its obvious that the cost of new bedside terminals must have fallen heavily since Patientline started due to the advent of cheaper TFT screens etc, etc.


Yes it is. Or rather, it should have been - in fact I hadn't though of that. But of course that doesn't reduce Patientline's debt in respect of the equipment manufactured when the cost was higher, nor the ongoing operating costs.
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« Last Edit: Jan 9th, 2006 at 4:03pm by pw4 »  
 
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #173 - Jan 9th, 2006 at 4:35pm
 
pw4 wrote on Jan 9th, 2006 at 4:01pm:
Quote:
If Patientline reduced the tv watching charge to £1.50 per day and changed the incoming phone number to 0870 (where call costs fall as low as 1.5p per minute at the weekend) then I'm sure the furore about Patientline would die down.


I would agree (once I've recovered from the shock of NGM suggesting that a company should use an 0870 number).
In fact, the numbers for contacting patients through Patientline in some hospitals are 0870.


Of course in the long run I would not support the use of 0870 numbers but would hope that Ofcom abolish all 084/7 charges above geographic rates and force those who need a revenue share to move to 09.  Patientline could then have an 09 number with a clear call price announcement and prominent statements on websites etc and people could decide if they wanted to pay it.  What I think is totally unethical is Patientline being mistaken as a mobile number by many contract mobile phone customers who will wrongly think it is covered by their inclusive cross network minutes.  Or with my own Vodafone Pay as You Go Smarplus phone I might think it was another mobile so  that off peak I could pay for just 3 minutes of mobile phone call and get the next 57 minutes free (the normal deal for 01/02 numbers and mobiles).  Of course as this is an 070 PNS number I would continue to pay by the minute for all 60 minutes and/or until my calling credit ran out.

Its interesting you say that in some hospitals 0870 is used by Patientline for incoming calls.  Can we assume either that those hospitals have more astute PCT's in charge or that those contracts were signed more recently once the public opprobrium at the use of 070 had become well know.  Also what exit route to the contract is there for the PCT's that agreed to the use of the 070 numbers?

Since you do not apparently work at Patientline I can only assume you must perhaps work in some part or another of the NHS?
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #174 - Jan 9th, 2006 at 6:18pm
 
pw4 wrote on Jan 9th, 2006 at 4:01pm:
trevord wrote on Jan 9th, 2006 at 10:02am:
Several times I've been in a plane on the ground during a stop-over and we've been told to switch off mobiles during re-fuelling, but could switch them back on afterwards.

I didn't know that - I've never been in a plane during a refueling stop. My experiences when flying have always been that mobiles must be turned of before taxi-ing for take-off, and not switched on again until well out of the aeroplane at the destination. The reason given is interference to aircraft systems. There are also restrictions for this reason on CD players, DVD players, and laptops fitted with CD or DVD drives. The fact that the request to switch off comes after boarding suggested to me that it was unconnected to fuel tanks.

My understanding is that there are two unconnected alleged 'perceived' risks:
1. interference with other radio signals, e.g. hospital equipment, airplane navigation, etc.;
2. risk of sparks being caused during refuelling, whether planes. cars, or whatever.

(P.S. For the avoidance of doubt, I didn't mean of course that we could keep the mobiles on during taxiing or flight: only that we could turn them on while stationary provided refuelling was not taking place at the time.)


pw4 wrote on Jan 9th, 2006 at 4:01pm:
trevord wrote on Jan 9th, 2006 at 10:12am:
What's a "Concession agreement" if it's not a specific type of contract?
Attempting to play semantics like this just demonstrates how desparate Patientline are and how little justifiable reason they have in their favour.

A concession agreement is a contract. I did not state, nor meant to imply that it is not. It is the specific type of contract that applies when one business is carried out on the premises of another, such as retail outlets in stations and airports. Various concessions are awarded within hospitals such as retail outlets, fast food outlets, and patient TV and telephone terminal systems, so it is the appropriate term in this case.
My point was that the impression given in some postings was that Patientline has been given some form of exclusive contract to install in all the hospitals in all of the NHS's in the UK. In reality, Patientline has had to negotiate a concession agreement (ie: contract) with each hospital Trust, and in many cases has had to win it in competition with other suppliers.
And it wasn't Patientline that used the term in this thread, it was I.

Where you said in your first message:
pw4 wrote on Jan 9th, 2006 at 12:50am:
Patientline holds no contract with any NHS
in the UK to fit its systems in hospitals. The ban on TVs is true to a point -
the concession agreements
held by companies including Patientline

it sounded to me as if you were saying that Patientline holds no contracts with NHS hospitals, but only holds concession agreements.  Apologies if I mis-understood your point.
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #175 - Jan 9th, 2006 at 7:19pm
 
Quote:
Of course in the long run I would not support the use of 0870 numbers but would hope that Ofcom abolish all 084/7 charges above geographic rates and force those who need a revenue share to move to 09.

My personal view is that it would be much simpler if calls to 0870 cost the same as those to Geo numbers regardless of the payment scheme the caller is signed up to.
Is revenue sharing currently allowed on numbers other than 09?


Quote:
Patientline could then have an 09 number with a clear call price announcement and prominent statements on websites etc and people could decide if they wanted to pay it.

Do you think Patientline's price announcement on their 070 numbers is unclear?
The numbers on the website show 070 numbers as 49p peak and 39p off-peak, but curiously say that "calls from mobiles and other networks may vary". Obviously this means they may vary in cost, and for mobiles that is clearly true. But why would they vary for landline calls on different networks?
In any case I notice that no network is named, which seems to render the term "other networks" somewhat meaningless.


Quote:
What I think is totally unethical is Patientline being mistaken as a mobile number by many contract mobile phone customers who will wrongly think it is covered by their inclusive cross network minutes ...

As I understand it, this problem has been caused by Ofcom classifying 07 codes as 'personal' numbers including mobiles and PNS, but the public perception generally is that they are all mobiles. Then add to that the mobile companies' various pricing plans that include other mobile networks, and the result is general confusion and ignorance. Patientline's justification - and that of other companies in the same line of business - for using 070 numbers was that the calls (in Patientline's case - eventually, and now directly in all but 25 sites) get through to the patient on a non-communal phone. Ofcom decided that this was an acceptable use of 070 (provided it is DDI). So any objection to this use of 070 must now be made to Ofcom, and that appears to be a lost argument.


Quote:
Its interesting you say that in some hospitals 0870 is used by Patientline for incoming calls.  Can we assume either that those hospitals have more astute PCT's in charge or that those contracts were signed more recently once the public opprobrium at the use of 070 had become well know.

Neither, I fear.
I must retract my claim that patients in some hospitals can be contacted through Patientline using 0870 numbers. Further research reveals that whilst the numbers shown for a few hospitals are 070, but for most 0870 212 1234 is shown. In fact the Patientline web pages relating to the latter have contradictory explanations for the 0870 number, saying both "To speak to a patient at this hospital... " and "To find a telephone number of a friend or loved one at this hospital... ", which to me suggests that (a) these are the hospitals at which DDI 070 numbers have been implemented, (b) the 0870 number is just for obtaining a 070 DDI number, and (c) Patientline has neglected to remove from the web pages the description that was applicable to the 070 numbers that pertained before DDI was implemented. I presume that those for which 070 numbers are still quoted are the 25 specified marginal sites in respect of which Ofcom granted a further six months extension to the deadline for implementing DDI. The '0870 number to be given an 070 number' is to what bigjohn referred in July 2005, but I hadn't understood what he meant, partly because he also stated, incorrectly, that the quoted 070 numbers were for the same purpose as the 0870 number - hardly surprisingly given the confusing web page statements.


Quote:
Also what exit route to the contract is there for the PCT's that agreed to the use of the 070 numbers?

I would imagine none that relate to call charge rates, unless any were to exceed a maximum specified in the contract.


Quote:
...  I can only assume you must perhaps work in some part or another of the NHS?

Indirectly - and not in any paid capacity.
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #176 - Jan 9th, 2006 at 7:33pm
 
trevord wrote on Jan 9th, 2006 at 6:18pm:
Where you said in your first message:
pw4 wrote on Jan 9th, 2006 at 12:50am:
Patientline holds no contract with any NHS
in the UK to fit its systems in hospitals. The ban on TVs is true to a point -
the concession agreements
held by companies including Patientline

it sounded to me as if you were saying that Patientline holds no contracts with NHS hospitals, but only holds concession agreements.  Apologies if I mis-understood your point.


My fault then - perhaps it would have been clearer had I said "Patientline holds no contract with any of the (four) national health services in the UK to fit its systems in all hospitals".
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #177 - Jan 9th, 2006 at 7:45pm
 
pw4 wrote on Jan 9th, 2006 at 7:19pm:
Is revenue sharing currently allowed on numbers other than 09?

Yes it is in effect allowed on 070 so long as the payment is not made to the actual individual for whom the call is destined on the 070 number.  That is why Ofcom is allowing the Patientline 070 use to continue as long as DDI numbers are used.

Quote:
The numbers on the website show 070 numbers as 49p peak and 39p off-peak, but curiously say that "calls from mobiles and other networks may vary". Obviously this means they may vary in cost, and for mobiles that is clearly true. But why would they vary for landline calls on different networks?


Because unlike 0870 numbers there seems to enough margin in carrying the calls for the phone company you use to offer considerable discounts if they want to.

The cheapest deals for calling 070 numbers (especially in the weekday daytime) are with www.dialaround.co.uk and www.dialwise.co.uk at 15p per minute.   You still have to pay 15p or so if your call is not answered with these two companies but the best rate for a pay on answer only connection method is with 18866 at 20p per minute and then 18185 at 25p per minute.  So if a relative is in hospital and you want to speak to them for 20 minutes before they go for an operation later that day then definitely use Dialaround or Dialwise and pay only £3.00 instead of £9.80 with BT.  Incidentally this all points to the fact that a huge part of what you pay BT for calling Patientline numbers in the weekday daytime must surely be going into BT's pocket and not Patientline's.  Perhaps the real ripoff artist here is BT then?  How do they justify their 49p per minute rate if Dialwise and Dialaround can make a profit at 15p per minute?  It seems clear that Patientline's take must therefore surely be under 15p a minute, even in the weekday daytime.

See www.niftylist.co.uk/calls/to/uk-070-personal/ngn/ for more information

Quote:
So any objection to this use of 070 must now be made to Ofcom, and that appears to be a lost argument.


When I suggested to senior Ofcom personnel at my meeting with them in late November that the result of their competition investigation into the call rate used for Patientline was already a forgone conclusion due to Ofcom already having signed off 070 continuing so long as DDI is used they denied this and assured me that Ofcom was every bit as concerned about the cost of Patientline calls as the public and more or less implied that there would be action on call costs when they reported back on the competition and call price investigation.

Quote:
Indirectly - and not in any paid capacity.


You aren't that senior hospital radio chappie we gave such a hard time to under another name are you.  Its just that your extensive personal knowledge of the workings of Patientline and his understanding seem to be very similar indeed.
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #178 - Jan 9th, 2006 at 8:14pm
 
pw4 wrote on Jan 9th, 2006 at 7:33pm:
- perhaps it would have been clearer had I said "Patientline holds no contract with any of the (four) national health services in the UK to fit its systems in all hospitals".

Have to confess I didn't know that there are four NHSs - I thought it was a National Health Service, as in National = U.K. / British.  I didn't know it was (now) broken down by devolution.
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #179 - Jan 10th, 2006 at 2:29pm
 
Quote:
(revenue sharing) is in effect allowed on 070 so long as the payment is not made to the actual individual for whom the call is destined on the 070 number.  That is why Ofcom is allowing the Patientline 070 use to continue as long as DDI numbers are used.

Thanks, that was my understanding, that 'revenue sharing' only refers to calls where a portion of the revenue is passed to the called party - which is basically what premium rate calls are for.
So calls via Patientline to patients are not revenue sharing (other than the portion that is paid by the originating networks to Patientline, which is the same arrangement as for any other PNS call).


Quote:
Because unlike 0870 numbers there seems to enough margin in carrying the calls for the phone company you use to offer considerable discounts if they want to.
...
Incidentally this all points to the fact that a huge part of what you pay BT for calling Patientline numbers in the weekday daytime must surely be going into BT's pocket and not Patientline's.  Perhaps the real ripoff artist here is BT then?  How do they justify their 49p per minute rate if Dialwise and Dialaround can make a profit at 15p per minute?  It seems clear that Patientline's take must therefore surely be under 15p a minute, even in the weekday daytime.

Thanks for that, and the underlying explanation.
Would it be correct to say that the quoted 49p/39p rate is the maximum from any fixed line phone? The niftylist site you mentioned claims that if calling "from a different network you could be surcharged by your operator" (my emphasis).


Quote:
When I suggested to senior Ofcom personnel at my meeting with them in late November that the result of their competition investigation into the call rate used for Patientline was already a forgone conclusion due to Ofcom already having signed off 070 continuing so long as DDI is used they denied this and assured me that Ofcom was every bit as concerned about the cost of Patientline calls as the public and more or less implied that there would be action on call costs when they reported back on the competition and call price investigation.

May I at this juncture point out that this thread has almost exclusively mentioned Patientline, and that it is the only company named in the title of this discussion. The investigation however is into the concession agreements (contracts!) between hospital trusts and two of the companies that provide this type of service.


Quote:
You aren't that senior hospital radio chappie we gave such a hard time to under another name are you.

You are correct - I am not he under another name.
I concur that you gave him a hard time.
My involvement is with hospital broadcasting, but I am not senior.
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