This is clearly a “developing story”.
The story so far appears to be:
1) April 2007: BT reserves the 03454 64 range of numbers
2) January 2008: In parliament, Ivan Lewis offers a “cast iron guarantee” to Rob Marris that use of 0845 4647 will not continue, subject to the obligations under its contract to BT.
3) May 2008: A representative of NHS Direct advises that its current contract with BT “does not tie NHS Direct into the use of 0845 4647 and instead allows the use of any non geographic number hosted by BT”. (This was not an authorised public statement and needs to be verified.)
4) 24 June 2008: Murray Bain, director of IT at NHS Direct,
tells E-Health Insider that one of his two favourite websites is Google “– it is such a fountain of knowledge”.
5) 23 July 2008: BT Wholesale publishes an announcement that 0345 4647 “will eventually replace 0845 4647”. This web page (
https://www.btwholesale.com/pages/downloads/News_and_Briefings/Interconnect_Brie...) is found by Google and cached.
6) 25 July 2008: The web page referred to above is found to have been removed. The “fountain” appears to have been blocked or muddied. There is no formal explained withdrawal or cancellation of the announcement. The Google cached copy remains.
7) 29 July 2008: E-Health Insider publishes an explanation from NHS Direct – “There are currently no plans to utilise this number. NHS Direct asked BT Wholesale to take the note down as it was misleading.” The article also reports that Rob Marris has written to Ivan Lewis to ask for an explanation of what is going on.
Discussions about use of a new national three-digit number for
urgent (but non-emergency) access to medical and social care services have been going on for some time. These are likely to continue for a long time to come as these services are currently provided by a wide array of private sector commercial companies, public bodies and co-operatives, each with their own telephone number for each local service. The Darzi process has revealed that each Strategic Health Authority (representing the regions of England) has a different view of the need and the feasibility of such a national service.
If such a service were to be introduced, it is possible that NHS Direct would be invited to tender for some level of involvement. This is however quite separate from the role that NHS Direct currently performs in providing general health advice for England and Wales. There is no published proposal to remove the contract for provision of non-urgent health advice from NHS Direct, nor for such advice to be accessed using a national three-digit number.
It could be said that this separate issue represents a “red herring” in the context of the need for NHS Direct to cease use of revenue sharing 0845 numbers.
As hinted in the article, it could be that NHS Direct is compelled to use 0345 4647 for its services under contract to NHS Wales. But that would be to add further confusion …
We await developments.