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NHS Direct profit from 0845 4647 (Read 59,710 times)
derrick
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NHS Direct profit from 0845 4647
Aug 8th, 2007 at 3:49pm
 
One of the regulars on here has posted questions & answers from the commons,(idb, I think, could have been  bbb_uk), re how much governments departments make from 084/087 numbers, could some one point me in the direction re NHS Directs rake in from their number please?

Also is there somewhere re  Ofcom,ASA, COI, that "suggests" that 01 numbers are given alongside 084/087 numbers for government departments?

Info needed for FOI appeal letter.

Thanks
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pw4
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Re: NHS Direct profit from 0845 4647
Reply #1 - Aug 8th, 2007 at 4:34pm
 
derrick wrote on Aug 8th, 2007 at 3:49pm:
Also is there somewhere re  Ofcom,ASA, COI, that "suggests" that 01 numbers are given alongside 084/087 numbers for government departments?

Here's one from http://www.ofcom.org.uk/media/news/2006/04/nr_20060419

"Public bodies

Ofcom continues to recommend that public bodies should not use NTS numbers exclusively (ie: without giving equal prominence to a geographic alternative) especially when dealing with people on low incomes or other vulnerable groups."
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derrick
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Re: NHS Direct profit from 0845 4647
Reply #2 - Aug 8th, 2007 at 4:44pm
 
Thanks for that, it's a start.
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Heinz
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Re: NHS Direct profit from 0845 4647
Reply #3 - Aug 8th, 2007 at 4:45pm
 
pw4 wrote on Aug 8th, 2007 at 4:34pm:
derrick wrote on Aug 8th, 2007 at 3:49pm:
Also is there somewhere re  Ofcom,ASA, COI, that "suggests" that 01 numbers are given alongside 084/087 numbers for government departments?

Here's one from http://www.ofcom.org.uk/media/news/2006/04/nr_20060419

"Public bodies

Ofcom continues to recommend that public bodies should not use NTS numbers exclusively (ie: without giving equal prominence to a geographic alternative) especially when dealing with people on low incomes or other vulnerable groups."

Interesting.  That's certainly one to throw at Essex County Council (Barbara?).

Wouldn't a GPs' surgery be a 'public body' too?
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After years of ignoring govt. guidelines & RIPPING OFF Council Tax payers using 0845 numbers, Essex County Council changed to 0345 numbers on 2 November 2015
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derrick
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Re: NHS Direct profit from 0845 4647
Reply #4 - Aug 8th, 2007 at 4:52pm
 
Heinz wrote on Aug 8th, 2007 at 4:45pm:
pw4 wrote on Aug 8th, 2007 at 4:34pm:
derrick wrote on Aug 8th, 2007 at 3:49pm:
Also is there somewhere re  Ofcom,ASA, COI, that "suggests" that 01 numbers are given alongside 084/087 numbers for government departments?

Here's one from http://www.ofcom.org.uk/media/news/2006/04/nr_20060419

"Public bodies

Ofcom continues to recommend that public bodies should not use NTS numbers exclusively (ie: without giving equal prominence to a geographic alternative) especially when dealing with people on low incomes or other vulnerable groups."

Interesting.  That's certainly one to throw at Essex County Council (Barbara?).

Wouldn't a GPs' surgery be a 'public body' too?


I thought doctors got round the "public body" issue by being "private" as against being "in" the NHS service?
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Dave
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Re: NHS Direct profit from 0845 4647
Reply #5 - Feb 4th, 2008 at 9:08pm
 
Source: Healthcare Republic

http://www.healthcarerepublic.com/news/PRACTICESTAFF/781087/Minister-cut-NHS-Dir...

<<

Minister to cut NHS Direct charges to set example for GPs

04-Feb-08

A DoH minister has pledged to cut charges for calls to NHS Direct to set a good example for GP practices that have signed up to high-rate phone services.

The standard cost of a call to NHS Direct is between 3p and 5p per minute, but people calling from mobiles or non-BT landlines may be charged more.

Asked for an assurance that NHS Direct would not be allowed to continue to use 0845 or other higher-rate telephone charges when its phone contract is renewed, junior health minister Ivan Lewis told MPs: ‘I can give a cast-iron guarantee that that will not be allowed to continue.

‘That provides a very important example of the government leading by example in this area.'

A spokeswoman for NHS Direct recognised that some telephone providers may charge high rates on top of the basic cost of a call to the service.

‘We are in discussion with the DoH, which set up the 0845 number in 1997, and we are looking at other options,' she said.

She said that using a freephone 0800 number had been ruled out by the DoH in the past because research suggested it would attract too many hoax callers.

The spokeswoman said the phone line was likely to be changed in 2008.

>>
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SilentCallsVictim
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Re: NHS Direct profit from 0845 4647
Reply #6 - Mar 4th, 2008 at 9:26pm
 
Intersting article in E-Health Insider - NHS Direct calls cost £16 each

This reports that the NHS Direct service is found to cost on average £16.54 per call answered.

Given that the taxpayer is happy to contribute on this scale, how absurd it is for this amount to be subsidised by a few pence per call by the patient. Mobile callers to 0845 4647 are boosting the profits of their providers by much more than this.

Let us have an "03" number so nobody is subsiding anybody.

Those who believe that the NHS should apply consumerist principles would doubtless wish for a premium rate line to be used. This would perhaps need to be charged at around £5 per minute.
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Dave
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Re: NHS Direct profit from 0845 4647
Reply #7 - Jul 29th, 2008 at 10:38am
 
Source: Rob Marris MP

http://www.robmarris.org.uk/index.php/?p=747

0845 Victory – NHS Direct changes it’s number!

28 July 2008

<<
Rob has welcomed progress on the change of the NHS Direct telephone number from the high-rate 0845, to the standard rate 0345. Unlike the 0845 number the new number will be charged at a standard rate, which will in the future be included in any pre-paid packages.

In January this year, Rob championed a call for the number to be altered and was “delighted” to receive a ‘cast iron’ guarantee from the Under Secretary of State for Health that the contract for NHS Direct would not be renewed with an 0845 number, this news confirms that the this transition is currently in progress.

BT Wholesale has announced
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that NHS Direct will be changing its main telephone number from 0845 4647 to 0345 4647. However, there is a slight disappointment in that the 0345 number is currently only connected to a test message, but the date of a change-over is soon to be announced along with the results of a Department of Health enquiry into the NHS Direct telephone service launched in January this year.

Commenting on the announcement Rob said: “the progress on the usage of 0845 and 0844 numbers is a step forward not just for the NHS Direct service, but also for other public services with which a similar transition could be implemented, easing the burden on those who can least afford it.”

Rob said earlier in the year: “I am pleased that the Government is listening to the many concerns being raised around the widespread use of these numbers and look forward to future measures being considered that ensure that the most vulnerable in our society are not penalised through excessive charging when trying to access essential services.”
>>

*
The notice was published on BT Wholesale's website and was only on there for a day before being removed.
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« Last Edit: Jul 29th, 2008 at 11:51am by Dave »  
 
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idb
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Re: NHS Direct profit from 0845 4647
Reply #8 - Jul 29th, 2008 at 12:39pm
 
Dave wrote on Jul 29th, 2008 at 10:38am:
Source: Rob Marris MP

http://www.robmarris.org.uk/index.php/?p=747

0845 Victory – NHS Direct changes it’s number!



Mr Marris, or more likely, whoever generates his web site, seems a little confused regarding "it's" and "its".
Anyway, more significantly, a welcome development.
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As from November 21, 2013, I no longer participate in the forum and am unable to receive private messages.
 
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derrick
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Re: NHS Direct profit from 0845 4647
Reply #9 - Jul 29th, 2008 at 12:49pm
 
idb wrote on Jul 29th, 2008 at 12:39pm:
Dave wrote on Jul 29th, 2008 at 10:38am:
Source: Rob Marris MP

http://www.robmarris.org.uk/index.php/?p=747

0845 Victory – NHS Direct changes it’s number!



Mr Marris, or more likely, whoever generates his web site, seems a little confused regarding "it's" and "its".
Anyway, more significantly, a welcome development.


It is not happening!

I saw the announcement by BT but it has now been withdrawn.
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« Last Edit: Jul 29th, 2008 at 12:56pm by derrick »  
 
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jgxenite
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Re: NHS Direct profit from 0845 4647
Reply #10 - Jul 29th, 2008 at 6:25pm
 
http://www.ehiprimarycare.com/news/nhs_direct_says_it_has_no_0845_plans

Perhaps this will help explain what is going on... or not, as the case may be...
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SilentCallsVictim
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Re: NHS Direct profit from 0845 4647
Reply #11 - Jul 30th, 2008 at 12:52am
 
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.
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SilentCallsVictim
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Re: NHS Direct profit from 0845 4647
Reply #12 - Aug 1st, 2008 at 10:45am
 
Some snippets from the recently published NHS Direct Annual Report for 2007/8.

1. It spent around £7.5 million on telecommunications, £0.5 million less than in 2006/7.

How much greater would its BT bill have been if the “almost 5 million” calls to 0845 4647 had been made to 0345 4647?

How much additional profit did the various telecos make on these calls as a result of excessive surcharges imposed over that necessary to cover the revenue share?

2. There is no figure given for the number or percentage of “urgent” non-emergency calls. The percentage of all calls that resulted in emergency or urgent referrals was 25.4%.

This suggests that non-urgent calls represent at least 75% of those received. The percentage is actually much higher as callers are said to under-assess the urgency of their situation; if callers assessed their condition properly then NHS Direct would not receive any “emergency” calls. This figure is important, as Darzi refers to the proposed three-digit national number as being for cases that the caller regards as “urgent”. (see previous postings.)

3. The suggestion that NHS Direct is using confusion over the nature of the proposed "three-digit number", as an alternative to moving to 0345 4647, to deflect attention from the need to make this change, is reinforced by the following statement in the report:

“A possible move to a single number for non-emergency access to healthcare, as suggested by Lord Darzi in his report, has significant implications for NHS Direct.”

Darzi does not suggest a single number for non-emergency access to healthcare. That would replace the numbers used by every doctor’s surgery and hospital! He only refers to plans in SHA “visions” for a special number for “urgent, unplanned care needs” (this includes “social care”) that will need to be "considered".

4. NHS Direct proudly declares its role in providing the “access and assess” element of GP out-of-hours services for 12% of the population.

This is quite separate from the 0845 4647 service. It is here in competition with private sector providers and GP co-operatives. This is one of the many areas that would be covered by the three-digit number, if it ever happened. One could wonder if perhaps NHS Direct has its eye on the other 88% and is perhaps looking to upgrade all of its telephone services to operate as if every call was urgent.

There may be a case for improving access to urgent care, however this must not be allowed to delay or impede the delivery of properly funded access to non-urgent health advice, which was sought on around 4 million occasions last year by NHS patients in England and Wales.
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ew.walgrove
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Re: NHS Direct profit from 0845 4647
Reply #13 - Aug 15th, 2008 at 6:22pm
 
Great news, if the Government hold to it's word but it might not. Why should anyone who is on has telephone package's like Talk Unlimited or any other package which includes local numbers in the package who needs to seek advice's from NHS Direct pay over the top!
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Re: NHS Direct profit from 0845 4647
Reply #14 - Aug 15th, 2008 at 7:18pm
 
ew.walgrove wrote on Aug 15th, 2008 at 6:22pm:
Great news, if the Government hold to it's word but it might not. Why should anyone who is on has telephone package's like Talk Unlimited or any other package which includes local numbers in the package who needs to seek advice's from NHS Direct pay over the top!


Not to mention why should those who have a contract mobile phone with 500 inclusive minutes a month to all 01/02/03 landlines and uk mobiles have to pay 25p per minute or whatever to call NHS Direct. Angry

Also what is the end date of the contract and why the hell do we have to wait till the end of the contract?

If the DoH made such a balls up in its original choice of phone number and it is impeding the ability of the poorest and most disadvantaged citizen consumers to contact NHS Direct then they should renegotiate the contract right now.  They can also remind Ian Livingston (CEO of BT) that if BT Global does not agree to change to let it use 0345 4647 right now at no penalty then they will go public with an announcement reminding Mr Livingston of his previous announcements to The Scotsman newspaper about 0845 numbers being a rip off and his wanting to see them all scrapped.

All this crap about waiting for the end of the contract without saying when the end of the contract simply amounts to to yet more playing for time by the charlatan revenue grabbing shysters at BT Global and NHS Direct. Shocked Angry Smiley Smiley Smiley
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« Last Edit: Aug 15th, 2008 at 7:24pm by NGMsGhost »  

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