Hansard 19 Jan 2009 - Cols 1200-1201W Quote:NHS: Telephone Services
Mike Penning: To ask the Secretary of State for Health how much his Department’s consultation on the use of 084 numbers within the NHS is expected to cost. [247143]
Mr. Bradshaw: The total costs for undertaking this consultation will only be known once the consultation is completed and all associated costs have been compiled. Final costs will depend on
the actual level of demand for consultation documents during the consultation period and the associated print and distribution costs.
Mr. Graham Stuart: To ask the Secretary of State for Health whether NHS Direct uses 0844 and 0845 telephone numbers for calls from members of the public; and if he will make a statement. [247306]
Mr. Bradshaw: The NHS Direct telephone advice service currently operates on 0845 4647. As set out in the NHS Next Stage Review final report, published 30 June 2008, officials are currently considering options for the introduction of a new three digit telephone number to help people find the right local service to meet their urgent, unplanned care needs. Any subsequent decision to introduce such a number, including tariff options, would be subject to public consultation, undertaken by Ofcom under the Communications Act 2003.
NHS Direct will retain its current 084 number until we are clear about any future role and function it may have in implementing a national three digit number for urgent care.
Additionally, NHS Direct is commissioned to provide local services on behalf of primary care trusts and other organisations. NHS Direct provides telephone numbers with prefixes including: 0845; 0800; 01; 02; and 03.
In accordance with Centre of Information guidance,
NHS Direct does not directly or indirectly receive revenue for the use of any 0845 numbers.
The costs incurred in putting the situation right are regrettable, but do not provide an adequate reason for doing nothing. Putting the issue out for public debate may be unnecessary, but it may help the DH get to grips with the solutions that are available and provide it with support in pressing them on possibly reluctant parties.
If the owners of the NHS wish to understand the position of the Department of Health and express their views, then the costs of producing and distributing copies of the consultation document to GP surgeries (or leaflets to advise of how to access it online) is perhaps justified.
Ben Bradshaw's comments confirm that the future for the current NHS Direct non-urgent telephone advice service is in doubt. The proposal for a national 3-digit, or more likely 6-digit 116xxx, number for urgent, but non-emergency, access to health and social care, whilst appearing sensible, opens up many issues regarding current services and the balance between local and national provision.
Whilst we are right to continue to call for the swift replacement of 0845 4647 with 0345 4647, we must recognise that the disruption involved and the cost of the related publicity would not be seen to be justified if the non-urgent health advice and information service and the number itself were to be withdrawn altogether shortly afterwards. In the event of a ban on use of revenue sharing numbers in the NHS, this particular number can however only be subject to an extended time limit for implementation of the ban, not exemption from its provisions.
The statement that NHS Direct does not receive "revenue" is either a way of concealing the fact that it takes the benefit in the form of subsidised costs, or an admission that BT Wholesale is overcharging. We await confirmation of which is the case.