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NHS Patientline 49p per minute Ofcom Investigation (Read 541,996 times)
pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #180 - Jan 10th, 2006 at 2:41pm
 
pw4 wrote on Jan 9th, 2006 at 4:01pm:
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

I have not located the document, but I have found details of it.
It was issued by the Medical Devices Agency (whose functions are now carried out by the Medicines and Healthcare products Regulatory Agency), was a safety notice regarding a study it had conducted into the use of various types of radio handset in medical areas, and warned that cellular telephones had the potential to interfere with medical devices.
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« Last Edit: Jan 10th, 2006 at 2:44pm by pw4 »  
 
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #181 - Jan 10th, 2006 at 2:48pm
 
pw4 wrote on Jan 10th, 2006 at 2:29pm:
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)


Yes but it doesn't matter to the caller that the called party is not getting the revenue share.  It only matters whether or not the call costs are exorbitant in relation to the service being provided  Ofcom itself has acknowledged that 070 PNS is widely abused and is considering reviewing it as a whole.  Also historically with Patientline the person answering the call was receiving the revenue share (i.e. Patientline's staff or its automated call queuing equipment)

Quote:
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).


These are the rates charged by BT for residential phone lines.  The different networks mentioned by Dialaround and Dialwise are are mobile operators who have different rates for calling the same numbers to access their service who charge more
 and who currently are allowed to get away with not publishing those prices clearly by Ofcom.

Quote:
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.


I would be interested to learn the name of Patientline's rival in the provision of these services in certain hospitals.  Do they have a website?
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« Last Edit: Jan 10th, 2006 at 2:52pm by N/A »  
 
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NonGeographicalMan
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #182 - Jan 10th, 2006 at 2:54pm
 
pw4 wrote on Jan 10th, 2006 at 2:41pm:
It was issued by the Medical Devices Agency (whose functions are now carried out by the Medicines and Healthcare products Regulatory Agency), was a safety notice regarding a study it had conducted into the use of various types of radio handset in medical areas, and warned that cellular telephones had the potential to interfere with medical devices.


In planning circles health grounds are not generally seen as being acceptable reasons for refusing planning permission for a new mobile phone transmitter site.
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Dave
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #183 - Jan 10th, 2006 at 3:01pm
 
pw4 wrote on 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).

This has been discussed elsewhere, and that is that the "portion that is paid by the originating networks to Patientline" is a 'micro-payment'. Another industry term just to confuse matters.

The reality is that this micro-payment is effectively subsidising the equipment, so the called party is receiving a service in kind. The same would be true if revenue sharing to the called party was done away with on 0870 and the high call charges were still allowed to be passed to the 0870 telco.

So the argument that the receiving party doesn't benefit by receiving payments (ie some of the call charges) doesn't necessarily mean that these numbers aren't premium rate.
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #184 - Jan 10th, 2006 at 3:07pm
 
pw4 wrote on 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).

While it may be technically correct that calls to Patientline 070 numbers are not revenue sharing, I would suggest that - from the point of view of the general public and those making calls to hospital patients - these would be regarded as revenue-sharing calls: they are paying a huge premium on the call cost for the 'privilege' of having the call directed to the appropriate patient.  And - in many cases - they have also had to make a call to another expensive (compared with geo) revenue-sharing number (0870 ot 0845) to ascertain the number in the first instance.

From the little I understand about PNS calls, I would argue that Patientline is not a true PNS.  My understanding is that 'regular' PNS calls are redirected to whatever 'phone number (mobile or fixed) the called party is currently at - and that this may be changed frequently.  (If I've misunderstood, please forgive me.)  Whereas the Patientline service merely directs the call to a particular fixed line phone, which is no different from a company switchboard with direct extension dialling - you just need to know the number of the relevant extension.  So the Patientline-type service could be implemented by having a regular geo number of the format 01234 567xxx, where xxx is the extension number.  The 'regular' PNS could not be implemented in this way.

pw4 wrote on Jan 10th, 2006 at 2:29pm:
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.

Personally, I wasn't aware that there is another company.  What is the company's name, please, and do they use the same model?
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trevord
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #185 - Jan 10th, 2006 at 3:10pm
 
pw4 wrote on Jan 10th, 2006 at 2:41pm:
pw4 wrote on Jan 9th, 2006 at 4:01pm:
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
I have not located the document, but I have found details of it.
It was issued by the Medical Devices Agency (whose functions are now carried out by the Medicines and Healthcare products Regulatory Agency), was a safety notice regarding a study it had conducted into the use of various types of radio handset in medical areas, and warned that cellular telephones had the potential to interfere with medical devices.

Thanks for further details.  I'll try to look further when I have time, but am off to Canada for a family wedding tomorrow - so currently have other priorities!
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #186 - Jan 10th, 2006 at 6:49pm
 
pw4 wrote on Jan 9th, 2006 at 4:01pm:
In fact, the numbers for contacting patients through Patientline in some hospitals are 0870
Where do you get that info from?

If it's from Patientline's website here then I don't believe it is accurate because going by that list most hospitals (the ones I clicked on at random anyhow) reads, "To speak to a person at this hospital, ring 0870 212 1234"  This number is just for Patientline general customer services which you could just ring on 0800 959 3100 anyhow.  I've rung this 0870 myself and all that happens it that they then give you the 070 number for the hospital you are after.  Therefore their website that reads, "To speak to a person at this hospital, ring 0870..." is completely misleading with regards to the fact that you don't speak to a person at the hospital itself but just their general customer services and then they give you the 070 number of the hospital you are after anyhow so therefore you don't get to speak to anyone at the hospital itself on the 0870 number.

This really should be investigated but with it being a website the ASA won't investigate it.  Ofcom are useless and its outside their remit anyhow so it's just Trading Standards but not sure what law it would specifically come under if they did decide to investigate the matter.
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« Last Edit: Jan 10th, 2006 at 6:51pm by bbb_uk »  
 
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #187 - Jan 12th, 2006 at 7:44pm
 
Quote:
pw4 wrote on Jan 10th, 2006 at 2:29pm:
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)


Yes but it doesn't matter to the caller that the called party is not getting the revenue share.  It only matters whether or not the call costs are exorbitant in relation to the service being provided  Ofcom itself has acknowledged that 070 PNS is widely abused and is considering reviewing it as a whole.
andtrevord wrote on Jan 10th, 2006 at 3:07pm:
While it may be technically correct that calls to Patientline 070 numbers are not revenue sharing, I would suggest that - from the point of view of the general public and those making calls to hospital patients - these would be regarded as revenue-sharing calls: they are paying a huge premium on the call cost for the 'privilege' of having the call directed to the appropriate patient.  And - in many cases - they have also had to make a call to another expensive (compared with geo) revenue-sharing number (0870 ot 0845) to ascertain the number in the first instance.

Yes - I understand that the cost of making calls to patients is a subject of criticism - and indeed is one of the subjects of the Ofcom investigation (the other being whether the agreements are anti-competitive because of their exclusivity and duration). I was making the point that Patientline's numbers are not revenue sharing because it has been claimed that they are, for example by six of the respondents (some or all of whom are members of this forum) to Ofcom's consultation on "Personal Numbering - Proposed amendment to guidance on acceptable use of 070 numbers".


Quote:
pw4 wrote on Jan 10th, 2006 at 2:29pm:
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).


These are the rates charged by BT for residential phone lines.  The different networks mentioned by Dialaround and Dialwise are are mobile operators who have different rates for calling the same numbers to access their service who charge more
and who currently are allowed to get away with not publishing those prices clearly by Ofcom.

I'm still confused - may I repeat the original question: would it be correct to say that the quoted 49p/39p rate is the maximum from any fixed line phone? The niftylist site claims that if calling "from your mobile, or from a different (ie: fixed line) network you could be surcharged by your operator" (my emphases).


Quote:
I would be interested to learn the name of Patientline's rival in the provision of these services in certain hospitals.  Do they have a website?

This discussion was started by someone who quoted the Ofcom announcement which named both companies (but only put one of them in the title)!

Try http://www.patient-entertainment.co.uk/
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #188 - Jan 12th, 2006 at 7:45pm
 
Quote:
In planning circles health grounds are not generally seen as being acceptable reasons for refusing planning permission for a new mobile phone transmitter site.

That's a whole 'nuther discussion; I think it's truer to say that in planning circles health grounds are not generally seen as being acceptable reasons for refusing planning permission for a new mobile phone transmitter site due to lack of supporting evidence. There is no point in a planning authority refusing permission in the knowledge that the refusal will be overturned - due to lack of supporting evidence - on appeal and at great expense to that authority.
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #189 - Jan 12th, 2006 at 7:46pm
 
Dave wrote on Jan 10th, 2006 at 3:01pm:
The reality is that this micro-payment is effectively subsidising the equipment, so the called party is receiving a service in kind. The same would be true if revenue sharing to the called party was done away with on 0870 and the high call charges were still allowed to be passed to the 0870 telco.

So the argument that the receiving party doesn't benefit by receiving payments (ie some of the call charges) doesn't necessarily mean that these numbers aren't premium rate.

Is that not the distinction:
with 070 numbers the called party receives a service (for 'traditional' PNS the ability to change destination number at will, and for hospital patients a DDI number for the duration of their stay),
with 09 numbers the called party receives payment,
both funded by the originating networks' payments to the PNS or premium rate number company?
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #190 - Jan 12th, 2006 at 7:47pm
 
trevord wrote on Jan 10th, 2006 at 3:07pm:
From the little I understand about PNS calls, I would argue that Patientline is not a true PNS.  My understanding is that 'regular' PNS calls are redirected to whatever 'phone number (mobile or fixed) the called party is currently at - and that this may be changed frequently.  (If I've misunderstood, please forgive me.)

That is my understanding also. But Ofcom considers that 070 numbers allocated to hospital patients so that they can have their own DDI number for the duration of their stay to be a legitimate Personal Numbering Service even though it may not fit the traditional/'true' mode of Personal Numbering.


Quote:
Personally, I wasn't aware that there is another company.  What is the company's name, please, and do they use the same model?

In addition to Patientline and Premier, whose agreements are the subject of this Ofcom investigation, I know of Wandsworth, Hospicom, and Patientpal, so there are at least five. However, Wandsworth contracts out the management and operation of its systems to Premier, so it is not apparent to me whether the agreements relating to these 'managed sites' are included in the investigation - but I would speculate that they are. Another, Kerphone, went into receivership in April 2005; the company had installed a system in one hospital, and the Trust subsequently arranged for Patientline to take over the operation of it. I understand that this system offers patients fewer facilities than Patientline's.
AFAIK, yes - all the agreements use the same model insofar as systems incorporating individual TVs and phones for patients are provided at no cost to (and no pecuniary benefit to) hospital Trusts, the exceptions being that some, if not all, the companies can arrange access for medical staff to Electronic Patients' Records through the terminals at a cost to the Trust, and patients' 'on-line' menu ordering at a cost to the Trust, and that some agreements specify that the terminals be cleaned by the ward cleaners rather than the company's, presumably at a cost to the company. Otherwise, the systems are funded solely by charges levied for the use of the TVs and for phone calls.
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« Last Edit: Jan 21st, 2006 at 12:38am by pw4 »  
 
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #191 - Jan 12th, 2006 at 7:48pm
 
bbb_uk wrote on Jan 10th, 2006 at 6:49pm:
pw4 wrote on Jan 9th, 2006 at 4:01pm:
In fact, the numbers for contacting patients through Patientline in some hospitals are 0870
Where do you get that info from?

Patientline's website.

Quote:
If it's from Patientline's website then I don't believe it is accurate because ....

No, I was in error, and referred to this in my posting http://www.saynoto0870.com/cgi-bin/forum/YaBB.cgi?num=1122290403/165#175(after the fourth quote). The web pages that quote the 0870 number are confusing because having added "To find a telephone number of a friend or loved one at this hospital please dial the above number - ", Patientline has neglected to remove "To speak to a patient at this hospital, call Patientline on:" that was relevant when 070 numbers were quoted.
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #192 - Jan 13th, 2006 at 4:12pm
 
pw4 wrote on Jan 12th, 2006 at 7:46pm:
Dave wrote on Jan 10th, 2006 at 3:01pm:
The reality is that this micro-payment is effectively subsidising the equipment, so the called party is receiving a service in kind. The same would be true if revenue sharing to the called party was done away with on 0870 and the high call charges were still allowed to be passed to the 0870 telco.

So the argument that the receiving party doesn't benefit by receiving payments (ie some of the call charges) doesn't necessarily mean that these numbers aren't premium rate.

Is that not the distinction:
with 070 numbers the called party receives a service (for 'traditional' PNS the ability to change destination number at will, and for hospital patients a DDI number for the duration of their stay),
with 09 numbers the called party receives payment,
both funded by the originating networks' payments to the PNS or premium rate number company?

But, by telephoning an 070 connected to one of these systems, one is paying Patientline on a per minute basis. The price of a telephone call should be just that. That is, the cost of connecting the caller with the called party. This makes a mockery of that as the caller has to subsidise the receiver's line/equipment. Imagine what would happen if we could have 'free' line rental in return for charging the caller more.

Even if this was/is acceptable, then there is the issue of there being no competitive forces to push prices down. Hence the reason why Patientline has opted for numbers at nearly the highest charging band allowed.
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #193 - Jan 13th, 2006 at 11:04pm
 
Dave wrote on Jan 13th, 2006 at 4:12pm:
Hence the reason why Patientline has opted for numbers at nearly the highest charging band allowed.


You mean there is a higher PNS rate Dave? Shocked

How much per minute does that one cost and why do you think Patientline haven't spotted it? Roll Eyes
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pw4
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Re: NHS Patientline 49p per minute Ofcom Investiga
Reply #194 - Jan 15th, 2006 at 10:13pm
 
Quote:
Dave wrote on Jan 13th, 2006 at 4:12pm:
Hence the reason why Patientline has opted for numbers at nearly the highest charging band allowed.


You mean there is a higher PNS rate Dave? Shocked

How much per minute does that one cost and why do you think Patientline haven't spotted it? Roll Eyes

(If you would excuse me answering a question posed to someone else - )

Since Patientline reduced their rates to 49p/39p, there is evidently at least one higher rate, and Patientline must be aware of it.
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